SUPERIOR HEALTH & REHAB LLC


Address: 625 Tommy Lewis Dr, Conway, AR 72032-7006
Phone: 5015856800

SUPERIOR HEALTH & REHAB LLC (NPI# 1508322249) 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) 1508322249
Entity Type Organization
Organization Name SUPERIOR HEALTH & REHAB LLC
Practice Address 625 Tommy Lewis Dr
Conway
AR 72032-7006
Mailing Address 415 Rogers Ave
Fort Smith
AR 72901-1903
Practice Telephone 5015856800
Mailing Telephone 4797834672
Mailing Fax Number 4797832217
Enumeration Date 2019-02-19
Last Update Date 2020-05-28
Authorized Official Name JERRY D SAMS (MEMBER)
Authorized Official Telephone 4797834672
Is Organization Subpart N

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
AR 234088311 05

Office Location

Street Address 625 TOMMY LEWIS DR
City CONWAY
State AR
Zip Code 72032-7006

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730789843 Amelia S Lasater Pharmacist 1155 Hwy 65n, Conway, AR 72032 2020-10-28
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1780222174 Eric Herman Boxnick Pharmacist 101 West Oak Street, Conway, AR 72032 2019-12-16
1932746070 Habilitation Center, LLC Psychiatric Residential Treatment Facility 161 Skunk Hollow Road, Conway, AR 72032 2019-12-09
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1275035602 Conway Dental Center Pllc Dentist 1600 E. Oak Street Suite B, Conway, AR 72032 2018-03-01
1750821625 Luke Osborne Physical Therapy Assistant 1 Thomas Ln, Conway, AR 72032 2017-02-27
1639620099 Sam's West, Inc. Technician/Technologist 1250 South Amity Rd, Conway, AR 72032 2016-10-20
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
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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
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
1053385377 Salem Place Nursing and Rehabilitation Center Inc Skilled Nursing Facility 2401 Christina Ln, Conway, AR 72034-6798 2006-02-14
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
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City CONWAY
Zip Code 72032

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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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