Montgomery County Assisted Living
NPI 1255537486ActiveOrganization· Assisted Living Facility· Mount Ida, AR
Assisted Living Facility in Mount Ida, Arkansas, registered in NPPES in June 2007. The authorized official on file is Bryan Fredrick Wann, Administrator.
Overview
| NPI | 1255537486 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 25, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 023 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|