REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC (NPI# 1689676272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689676272 |
| Entity Type | Organization |
| Organization Name | REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC |
| Other Organization Name | REGENCY HOSPITAL OF SPRINGDALE |
| Practice Address |
609 W Maple Ave 6th Floor Springdale AR 72764-5335 |
| Mailing Address |
4714 Gettysburg Rd Legal Dpt Mechanicsburg PA 17055-4325 |
| Practice Telephone | 4797137000 |
| Practice Fax Number | 4797137003 |
| Mailing Telephone | 7179721100 |
| Mailing Fax Number | 7179759981 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-09-19 |
| Authorized Official Name | MR. MICHAEL TARVIN (VICE PRESIDENT) |
| Authorized Official Telephone | 7179721100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | AR4182 | AR | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 165731105 | 05 |
| Other Name | Type Code |
|---|---|
| Regency Hospital of Springdale | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760754725 | Regency Hospital of Northwest Arkansas, LLC | Hospitalist | 2710 Rife Medical Ln, 7th Floor, Rogers, AR 72758-1452 | 2012-02-06 |
| Street Address |
609 W MAPLE AVE 6TH FLOOR |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957799 | Victoria Ashley Sollestre | Physician Assistant | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-09-21 |
| 1588279475 | Ashley Early | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5394 | 2020-09-09 |
| 1710504931 | Sandra Lee Moore | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2020-07-03 |
| 1386291656 | Dominique Ann Ertolacci | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-08-21 |
| 1861055204 | Dustin J Franklin | Nurse Anesthetist, Certified Registered | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-22 |
| 1407419278 | Samuel Tanner Burks | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-04-17 |
| 1285199133 | Shelby Lane Harrison | Registered Nurse | 609 W Maple Ave, Springdale, AR 72764-5335 | 2019-02-05 |
| 1750865929 | Teqienna Dianne Randall | Nurse Practitioner | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-09-24 |
| 1588144182 | David R Massey Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764-5335 | 2018-08-14 |
| 1619453495 | Jacquelyn Lange-halley Md Pllc | Psychiatry & Neurology | 609 W Maple Ave, Springdale, AR 72764 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851812176 | Lhcg Cxix, LLC | Long Term Care Hospital | 300 Werner St Fl 3, Hot Springs, AR 71913-6406 | 2017-06-28 |
| 1790206910 | Lhcg Cxviii, LLC | Long Term Care Hospital | 7301 Rogers Ave Fl 4, Fort Smith, AR 72903-4100 | 2017-06-28 |
| 1225139637 | Allegiance Specialty Hospital of Little Rock, LLC | Long Term Care Hospital | 11401 Interstate 30 Fl 2, Little Rock, AR 72209-7042 | 2006-09-26 |
| 1417957200 | Select Specialty Hospital - Little Rock/bmc Inc | Long Term Care Hospital | 9601 Interstate 630, Exit 7, 10th Floor, Little Rock, AR 72205-7202 | 2005-07-22 |
| 1346249372 | Select Specialty Hospital - Fort Smith Inc | Long Term Care Hospital | 1001 Towson Avenue, Fort Smith, AR 72901-4915 | 2005-07-20 |
| 1346630589 | Chg Hospital Little Rock, LLC | Long Term Care Hospital | 2 Saint Vincent Cir, 6th Floor, Little Rock, AR 72205-5423 | 2015-01-26 |
| 1831506989 | Christus Continuing Care | Long Term Care Hospital | 7301 Rogers Ave, 4th Floor, Fort Smith, AR 72903-4100 | 2014-07-21 |
| 1912314063 | Christus Continuing Care | Long Term Care Hospital | 300 Werner St, 3rd Floor, Hot Springs, AR 71913-6406 | 2014-07-21 |
| 1003160771 | Dubuis Health System, Inc. | Long Term Care Hospital | 300 Werner St, 3rd Floor, Hot Springs, AR 71913-6406 | 2012-11-02 |
| 1649524315 | Dubuis Health System, Inc. | Long Term Care Hospital | 7301 Rogers Ave, 4th Floor, Fort Smith, AR 72903-4100 | 2012-11-02 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC.
| 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.