NORTHCARE LLC (NPI# 1609839471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609839471 |
| Entity Type | Organization |
| Organization Name | NORTHCARE LLC |
| Other Organization Name | NORTHRIDGE HEALTHCARE & REHABILITATION |
| Practice Address |
2501 John Ashley Dr North Little Rock AR 72114 |
| Mailing Address |
2908 Hawkins Dr Searcy AR 72143 |
| Practice Telephone | 5017583800 |
| Practice Fax Number | 5017582276 |
| Mailing Telephone | 5013053153 |
| Mailing Fax Number | 5012793796 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOEY MARTIN WIGGINS (PRESIDENT) |
| Authorized Official Telephone | 5013053153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 789 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDIPAK | 015385 | 01 |
| Other Name | Type Code |
|---|---|
| Northridge Healthcare & Rehabilitation | Doing Business As Name - Organization |
| Street Address |
2501 JOHN ASHLEY DR |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255815676 | The Waters of North Little Rock, LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2018-09-21 |
| 1548621931 | Highlands of North Little Rock John Ashley Holdings LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2016-03-11 |
| 1316337983 | Highlands of North Little Rock John Ashley, LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2015-02-03 |
| 1336400993 | Mary Therese Grageda Gomez | Physical Therapist | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2012-05-30 |
| 1255697199 | Genesis Rehab Services | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2012-04-04 |
| 1558634683 | Northridge Hc&r Nursing LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2012-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316432966 | Mid State Counseling and Recovery Service | Clinic/Center | 1920 Main St Ste 229, North Little Rock, AR 72114 | 2018-06-26 |
| 1053826842 | Kelli Lauron Johnson | Nurse Practitioner | 2800 North Willow Street, North Little Rock, AR 72114 | 2017-12-03 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1366787459 | J Andrew Mccullough | Counselor | 628 W Broadway St Ste 300, North Little Rock, AR 72114 | 2012-11-30 |
| 1598071490 | Roger Elliott Hicks IIi | Counselor | 2200 Fort Roots Dr # 3d, North Little Rock, AR 72114 | 2010-08-30 |
| 1740594456 | Tuyet Thi Van | Dentist | 520 W. Pershing Blvd., North Little Rock, AR 72114 | 2010-08-05 |
| 1467764183 | Jennifer Leigh Nash | Behavioral Analyst | 628 W Broadway St Ste 100, North Little Rock, AR 72114 | 2010-07-10 |
| 1336398544 | Tina A Davie | Registered Nurse | 2200 Foot Roots Drive, Little Rock, AR 72114 | 2008-09-11 |
| 1316125313 | Centers for Youth & Families | Community/Behavioral Health | 200 W. 20th, North Little Rock, AR 72114 | 2008-02-01 |
| 1881878064 | Marie A Graham | Nurse Practitioner | 636 West Broadway St, No Little Rock, AR 72114 | 2007-12-24 |
| Find all providers in zip 72114 | ||||
| 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 |
|---|---|---|---|---|
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| 1477505659 | Ggnsc North Little Rock LLC | Skilled Nursing Facility | 3600 Richards Rd, North Little Rock, AR 72117-2921 | 2006-05-16 |
| 1811985773 | Robinson Nursing and Rehabilitation Center LLC | Skilled Nursing Facility | 519 Donovan Briley Blvd, North Little Rock, AR 72118-3272 | 2005-10-13 |
| 1689662223 | Lakewood Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2323 Mccain Blvd, North Little Rock, AR 72116-7519 | 2005-10-07 |
| 1255815676 | The Waters of North Little Rock, LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2018-09-21 |
| 1548621931 | Highlands of North Little Rock John Ashley Holdings LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2016-03-11 |
| 1043679632 | Baptist Health | Skilled Nursing Facility | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2016-02-11 |
| 1548634074 | Somerset Senior Living At Premier | Skilled Nursing Facility | 3600 Richards Rd, North Little Rock, AR 72117-2921 | 2015-11-20 |
| 1316337983 | Highlands of North Little Rock John Ashley, LLC | Skilled Nursing Facility | 2501 John Ashley Dr, North Little Rock, AR 72114-1815 | 2015-02-03 |
| 1669876322 | Lakewood Health and Rehab, LLC | Skilled Nursing Facility | 2323 Mccain Blvd, North Little Rock, AR 72116-7519 | 2014-10-09 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72114 |
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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.