ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC. (NPI# 1689751810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689751810 |
| Entity Type | Organization |
| Organization Name | ARKANSAS ELDER OUTREACH OF LITTLE ROCK, INC. |
| Other Organization Name | PLEASANT VALLEY LIVING CENTER |
| Practice Address |
12111 Hinson Rd Little Rock AR 72212-3410 |
| Practice Telephone | 5012258888 |
| Practice Fax Number | 5012287536 |
| Mailing Telephone | 5012258888 |
| Mailing Fax Number | 5012287536 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-02-22 |
| 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 | 695 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 119701311 | 05 |
| Other Name | Type Code |
|---|---|
| Pleasant Valley Living Center | 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 |
| 1407933633 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 1820 W Moline St, Malvern, AR 72104-2644 | 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 |
12111 HINSON RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72212-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316442395 | Pleasant Valley Nursing LLC | Skilled Nursing Facility | 12111 Hinson Rd, Little Rock, AR 72212-3410 | 2018-03-29 |
| 1790976769 | Hongying Guo | Registered Nurse | 12111 Hinson Rd, Little Rock, AR 72212-3410 | 2007-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475805 | Arkansas Health Group | Dietitian, Registered | 10915 Rodney Parham Road, Suite G, Little Rock, AR 72212 | 2020-10-20 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1942749148 | Reece Lewis Crow | General Practice | 34 Windsor Road, Little Rock, AR 72212 | 2017-02-21 |
| 1174910210 | Jourdan Quinn | Nurse Practitioner | 11300 Cantrell Rd Ste 204, Little Rock, AR 72212 | 2015-04-15 |
| 1174942528 | Jacey Tanner Guthrie | Dermatology | 4200 N Rodney Parham Rd Ste 202, Little Rock, AR 72212 | 2014-04-14 |
| 1366867525 | Rustee Danielle Pruitt | Counselor | 1719 Merrill Drive, Little Rock, AR 72212 | 2014-02-25 |
| 1932520558 | Diana Johnson Pearson | Speech-Language Pathologist | 3920 Woodland Heights Rd., Little Rock, AR 72212 | 2013-12-27 |
| 1275968786 | Bill F Hefley Sr. | Allergy & Immunology | 361 Valley Club Circle, Little Rock, AR 72212 | 2013-09-04 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| Find all providers in zip 72212 | ||||
| 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 |
|---|---|---|---|---|
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1962860445 | Colonel Glenn Health and Rehab, LLC | Skilled Nursing Facility | 13700 David O Dodd Rd, Little Rock, AR 72210-2747 | 2016-01-29 |
| 1184907255 | Chenal Heights Healthcare & Rehab, LLC | Skilled Nursing Facility | 3 Chenal Heights Dr, Little Rock, AR 72223-3910 | 2011-09-24 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1710119607 | All-american Care Centers, Inc. | Skilled Nursing Facility | 2600 Barrow Rd, Little Rock, AR 72204-3335 | 2009-08-11 |
| 1396920278 | Chenal Health LLC | Skilled Nursing Facility | 3 Chenal Heights Dr., Little Rock, AR 72223 | 2008-01-09 |
| 1902080419 | Health Point Services, LLC | Skilled Nursing Facility | 2821 W Dixon Rd, Little Rock, AR 72206-4256 | 2007-12-19 |
| 1023186723 | Ksjr Healthcare, LLC | Skilled Nursing Facility | 1516 Cumberland St, Little Rock, AR 72202-5065 | 2006-12-01 |
| 1861578015 | Little Rock Healthcare and Rehab | Skilled Nursing Facility | 5720 W Markham St, Little Rock, AR 72205-3328 | 2006-10-31 |
| 1740373562 | Barrow Road Care & Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 John Barrow Rd, Little Rock, AR 72204-3335 | 2006-10-02 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72212 |
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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.