ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC. (NPI# 1407933633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407933633 |
| Entity Type | Organization |
| Organization Name | ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC. |
| Other Organization Name | ENCORE HEALTHCARE AND REHABILITATION |
| Practice Address |
1820 W Moline St Malvern AR 72104-2644 |
| Practice Telephone | 5013379581 |
| Practice Fax Number | 5013379168 |
| Mailing Telephone | 5013379581 |
| Mailing Fax Number | 5013379168 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-02-20 |
| Authorized Official Name | MR. DARVIN C. MCMORRIS (AGENT/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2257697960 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 734 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 119743311 | 05 |
| Other Name | Type Code |
|---|---|
| Encore Healthcare and REhabilitation | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740368174 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 33904 Highway 63, Marked Tree, AR 72365 | 2006-11-02 |
| 1679650808 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 804 N 2nd St, Cabot, AR 72023-2548 | 2006-11-01 |
| 1881771012 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 405 Milton Rd, Maurice, LA 70555-4458 | 2006-11-01 |
| 1407933674 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 7534 Highway 1, Lockport, LA 70374-3437 | 2006-11-01 |
| 1689751810 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 12111 Hinson Rd, Little Rock, AR 72212-3410 | 2006-11-01 |
| 1386652428 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 101 Brougham Ave, Marion, AR 72364-2505 | 2006-08-04 |
| Street Address |
1820 W MOLINE ST |
| City | MALVERN |
| State | AR |
| Zip Code | 72104-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770089716 | Encore Healthcare LLC | Skilled Nursing Facility | 1820 W Moline St, Malvern, AR 72104-2644 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1356837959 | American Oncology Partners, P.a. | Internal Medicine | 1001 Schneider Dr Ste 105, Malvern, AR 72104 | 2018-07-06 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| Find all providers in zip 72104 | ||||
| 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 |
|---|---|---|---|---|
| 1649640913 | Happy Valley, LLC | Skilled Nursing Facility | 955 Division St, Malvern, AR 72104-2309 | 2015-09-30 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| 1295807345 | Care Institute of Main Line and Haverford, LLC | Skilled Nursing Facility | 283 Lancaster Ave, Malvern, PA 19355-3089 | 2006-11-14 |
| 1619932662 | Manor of Malvern Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2006-04-20 |
| 1750379335 | Diversicare Leasing Corp. | Skilled Nursing Facility | 105 Russellville Rd, Malvern, AR 72104-6700 | 2005-10-08 |
| 1770089716 | Encore Healthcare LLC | Skilled Nursing Facility | 1820 W Moline St, Malvern, AR 72104-2644 | 2018-03-30 |
| 1891205332 | Chester Place Snf LLC | Skilled Nursing Facility | 283 Lancaster Ave, Malvern, PA 19355-3089 | 2017-10-11 |
| 1437533155 | Malvern Snf Operations LLC | Skilled Nursing Facility | 105 Russellville Rd, Malvern, AR 72104-6700 | 2015-07-13 |
| 1083047922 | Malvern Operations, LLC | Skilled Nursing Facility | 105 Russellville Rd, Malvern, AR 72104-6700 | 2013-08-14 |
| 1588991301 | Morse Healthcare Services Inc. | Skilled Nursing Facility | 903 2nd Ave, Malvern, IA 51551-4059 | 2009-11-16 |
| Find all providers in MALVERN | ||||
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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.