Provider Demographics
NPI:1700876398
Name:MURPHY HEALTHCARE LLC
Entity Type:Organization
Organization Name:MURPHY HEALTHCARE LLC
Other - Org Name:MURPHY HEALTH AND REHABILITATION CENTER OF PIGGOTT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:IV
Authorized Official - Credentials:CPA
Authorized Official - Phone:903-236-4574
Mailing Address - Street 1:450 S 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:PIGGOTT
Mailing Address - State:AR
Mailing Address - Zip Code:72454-2501
Mailing Address - Country:US
Mailing Address - Phone:870-598-2291
Mailing Address - Fax:870-598-5771
Practice Address - Street 1:450 S 9TH AVE
Practice Address - Street 2:
Practice Address - City:PIGGOTT
Practice Address - State:AR
Practice Address - Zip Code:72454-2501
Practice Address - Country:US
Practice Address - Phone:870-598-2291
Practice Address - Fax:870-598-5771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR704310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARO4 5178Medicare ID - Type Unspecified