Provider Demographics
NPI:1972593911
Name:ERRS INC
Entity Type:Organization
Organization Name:ERRS INC
Other - Org Name:PINK BUD HOME FOR THE GOLDEN YEARS
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:MARVIN
Authorized Official - Last Name:CORBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-996-4125
Mailing Address - Street 1:PO DRAWER 2000
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-2000
Mailing Address - Country:US
Mailing Address - Phone:479-996-4125
Mailing Address - Fax:479-996-4023
Practice Address - Street 1:400 S COKER
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-2000
Practice Address - Country:US
Practice Address - Phone:479-996-4125
Practice Address - Fax:479-996-4023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR109446311Medicaid