SALCO NC 2, INC. (NPI# 1093244097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093244097 |
| Entity Type | Organization |
| Organization Name | SALCO NC 2, INC. |
| Practice Address |
6420 Alcoa Rd Benton AR 72015-6315 |
| Mailing Address |
824 Salem Rd Ste 210 Conway AR 72034-4855 |
| Practice Telephone | 5019320050 |
| Practice Fax Number | 5019320056 |
| Mailing Telephone | 5019320050 |
| Mailing Fax Number | 5019323169 |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2018-03-20 |
| Authorized Official Name | ANTHONY BRANDON ADAMS (PRESIDENT) |
| Authorized Official Telephone | 5019320050 |
| Is Organization Subpart | Y |
| Parent Organization Name | OVATION HEALTH SYSTEMS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | SKILLED NURSING FACILITY LICENSE NUMBER | 1131 | 01 |
| AR | 222326311 | 05 |
| Street Address |
6420 ALCOA RD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-6315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| 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 |
|---|---|---|---|---|
| 1497927735 | Helia Healthcare of Benton, LLC | Skilled Nursing Facility | 1310 Mark Franklin Dr, Benton, IL 62812-2049 | 2008-03-27 |
| 1427186451 | Stonebridge Senior Living Center, LLC | Skilled Nursing Facility | 902 S Mcleansboro St, Benton, IL 62812-3413 | 2007-03-01 |
| 1528128055 | Arkansas Health Center | Skilled Nursing Facility | 6701 Hwy 67, Benton, AR 72015-8909 | 2006-12-12 |
| 1407866593 | Benton Healthcare Center, LLC | Skilled Nursing Facility | 19701 Interstate 30, Benton, AR 72015-8024 | 2006-08-09 |
| 1447295548 | Thames Healthcare Group, LLC | Skilled Nursing Facility | 2607 Main St, Benton, KY 42025-7601 | 2006-06-20 |
| 1558352666 | Benton Investments & Associates, LLC | Skilled Nursing Facility | 3300 Alcoa Rd, Benton, AR 72015-6032 | 2005-10-31 |
| 1871580050 | Kmj Enterprises Benton II LLC | Skilled Nursing Facility | 809 Kenwood Rd, Benton, AR 72015-2337 | 2005-10-03 |
| 1972590446 | Kmj Enterprises Benton I LLC | Skilled Nursing Facility | 3300 Military Rd, Benton, AR 72015-2581 | 2005-09-30 |
| 1710984505 | Franklin Hospital | Skilled Nursing Facility | 100 Mark Franklin St, Benton, IL 62812-1965 | 2005-07-07 |
| 1609315407 | Stonebridge Nursing & Rehabilitation Center, LLC | Skilled Nursing Facility | 902 S Mcleansboro St, Benton, IL 62812-3413 | 2017-02-14 |
| Find all providers in BENTON | ||||
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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.