JONESBORO HEALTH AND REHAB, LLC


Address: 1705 Latourette Ln, Jonesboro, AR 72404-0797
Phone: 8709357550

JONESBORO HEALTH AND REHAB, LLC (NPI# 1164856522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164856522
Entity Type Organization
Organization Name JONESBORO HEALTH AND REHAB, LLC
Practice Address 1705 Latourette Ln
Jonesboro
AR 72404-0797
Mailing Address 1423 Clarkview Rd
Suite 500
Baltimore
MD 21209-2134
Practice Telephone 8709357550
Mailing Telephone 4104272700
Mailing Fax Number 4148155558
Enumeration Date 2013-08-21
Last Update Date 2015-06-09
Authorized Official Name MR. BRIAN K. REYNOLDS (MANAGER)
Authorized Official Telephone 4105138738
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 744 AR Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AR 198658311 05

Office Location

Street Address 1705 LATOURETTE LN
City JONESBORO
State AR
Zip Code 72404-0797

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003375429 Jordan Ramm Physical Medicine & Rehabilitation 1705 Latourette Ln, Jonesboro, AR 72404-0797 2019-03-15
1346722188 Community Compassion Jonesboro Skilled Nursing Facility 1705 Latourette Ln, Jonesboro, AR 72404-0797 2018-08-29
1043769540 Colby Golden Occupational Therapist 1705 Latourette Ln, Jonesboro, AR 72404-0797 2016-09-25
1750755195 Jonesboro Holdings LLC Skilled Nursing Facility 1705 Latourette Ln, Jonesboro, AR 72404-0797 2015-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740745967 Imove, LLC Physical Therapist 8700 S. Caraway Rd., Apt. L2, Jonesboro, AR 72404 2019-02-01
1245728914 Karina Coats Nurse Anesthetist, Certified Registered 2409 Skyline Pt, Jonesboro, AR 72404 2018-04-27
1619325263 Kathryn Meyers Specialist/Technologist 1614 Latourette Ln Apt 2, Jonesboro, AR 72404 2016-05-24
1922476571 Tmj and Facial Pain Center,llc Dentist 2600 Browns Lane, Ste B, Jonesboro, AR 72404 2015-09-11
1265828156 Hd Dental, Pa Dba Smile Dental Dentist 6009 Highway 1 South, Jonesboro, AR 72404 2015-04-08
1124445358 Tanner Wilson Jarrett Occupational Therapy Assistant 3114 Fox Road Suite A, Jonesboro, AR 72404 2014-03-26
1154759793 Kasey Boyd Specialist/Technologist 1717 Hwy 163, Jonesboro, AR 72404 2013-10-17
1578848610 Maria Ivonne Norman Physical Therapist 8700 S. Caraway Rd. Apt. L2, (the Meadows), Jonesboro, AR 72404 2011-10-20
1003198839 Rachel Hollimon Golden Speech-Language Pathologist 4410 Harrisburg Rd., Jonesboro, AR 72404 2011-09-19
1225358021 Darrell R Gann Physical Therapy Assistant 6040 Beaver Creek, Jonesboro, AR 72404 2010-06-03
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043464746 Petersen Health Operations, LLC Skilled Nursing Facility 995 State Rt 127 S, Jonesboro, IL 62952 2008-11-07
1386821650 Jbnc, Inc. Skilled Nursing Facility 5504 E Johnson Ave., Jonesboro, AR 72401-8309 2008-01-29
1184703993 Craighead Nursing Center Skilled Nursing Facility 5101 Harrisburg Rd, Jonesboro, AR 72404-8729 2006-11-03
1992814644 Jonesboro Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 2650 Highway 138 E, Jonesboro, GA 30236-2744 2006-08-29
1154331239 Jonesboro Healthcare Center, LLC Skilled Nursing Facility 800 Southwest Dr, Jonesboro, AR 72401 2006-08-09
1598702862 Petersen Health Properties, LLC Skilled Nursing Facility 995 State Route 127 S, Box B, Jonesboro, IL 62952-2423 2006-06-02
1316914302 Arrowhead Healthcare, LLC Skilled Nursing Facility 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 2006-03-08
1366423550 Forest Haven Nursing & Rehabilitation Center, LLC Skilled Nursing Facility 171 Thrasher Dr, Jonesboro, LA 71251-4125 2005-11-07
1427039585 Wyatt Manor Nursing & Rehabilitation Center, Inc. Skilled Nursing Facility 4659 Highway 505, Jonesboro, LA 71251-5891 2005-11-07
1942297411 Kmj Enterprises Skill Care LLC Skilled Nursing Facility 2911 Browns Ln, Jonesboro, AR 72401-7204 2005-09-30
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City JONESBORO
Zip Code 72404

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Dataset Information

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.

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