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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 314000000X | Skilled Nursing Facility | 744 | AR | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | 198658311 | 05 |
Street Address |
1705 LATOURETTE LN |
City | JONESBORO |
State | AR |
Zip Code | 72404-0797 |
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 |
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 |
Find all providers in zip 72404 |
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 |
---|---|---|---|---|
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 |
Find all providers in JONESBORO |
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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.