SALEM PLACE NURSING AND REHABILITATION CENTER INC (NPI# 1053385377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053385377 |
| Entity Type | Organization |
| Organization Name | SALEM PLACE NURSING AND REHABILITATION CENTER INC |
| Practice Address |
2401 Christina Ln Conway AR 72034-6798 |
| Mailing Address |
415 Rogers Ave Fort Smith AR 72901-1903 |
| Practice Telephone | 5013274421 |
| Mailing Telephone | 4797834672 |
| Mailing Fax Number | 4797832217 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-04-16 |
| Authorized Official Name | MR. MICHAEL S. MORTON (PRESIDENT) |
| Authorized Official Telephone | 4797834672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 794 | AR | Nursing & Custodial Care Facilities |
| Street Address |
2401 CHRISTINA LN |
| City | CONWAY |
| State | AR |
| Zip Code | 72034-6798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093347791 | Tanya Taylor | Nurse Practitioner | 2401 Christina Ln, Conway, AR 72034-6798 | 2020-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
| 1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
| 1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
| 1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| 1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
| 1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
| 1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
| Find all providers in zip 72034 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1023431905 | Lexington Place Healthcare and Rehabilitation,llc | Skilled Nursing Facility | 1052 Harrison St Ste 6, Conway, AR 72032-4277 | 2014-01-28 |
| 1982819298 | Agape Rehabilitation of Conway, Inc. | Skilled Nursing Facility | 2320 Highway 378, Conway, SC 29527-4911 | 2007-05-11 |
| 1821028556 | St. Andrews Place, Inc. | Skilled Nursing Facility | 3501 College Ave, Conway, AR 72034-7281 | 2006-07-05 |
| 1639123748 | Conway Manor, LLC | Skilled Nursing Facility | 3300 4th Ave, Conway, SC 29527-6002 | 2006-05-22 |
| 1104814771 | Diversicare Leasing Corp. | Skilled Nursing Facility | 2603 Dave Ward Dr, Conway, AR 72034-6771 | 2005-10-07 |
| 1053307363 | Heritage Living Center, Inc. | Skilled Nursing Facility | 1175 Morningside Dr, Conway, AR 72034-3647 | 2005-09-22 |
| 1528062544 | Conway Hospital Long Term Care Services, Inc | Skilled Nursing Facility | 2379 Cypress Cir, Conway, SC 29526-8921 | 2005-06-08 |
| 1124595863 | Pruitthealth - Conway, LLC | Skilled Nursing Facility | 2379 Cypress Cir, Conway, SC 29526-8921 | 2018-10-31 |
| 1639652506 | Ltc of Conway, LLC | Skilled Nursing Facility | 3501 College Ave, Conway, AR 72034-7281 | 2018-09-07 |
| Find all providers in CONWAY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.