BANYAN HEALTHCARE SERVICES, LLC (NPI# 1760458814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760458814 |
| Entity Type | Organization |
| Organization Name | BANYAN HEALTHCARE SERVICES, LLC |
| Other Organization Name | DIERKS HEALTH & REHAB CENTER |
| Practice Address |
402 S. Arkansas Ave Dierks AR 71833 |
| Mailing Address |
1051 Lantrip Rd Sherwood AR 72120-4161 |
| Practice Telephone | 8702863100 |
| Practice Fax Number | 8702863030 |
| Mailing Telephone | 5018335627 |
| Mailing Fax Number | 5018356905 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2014-12-09 |
| Authorized Official Name | MR. KURT LEE LUTH (REGISTERED AGENT) |
| Authorized Official Telephone | 5018335627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 769 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 155080311 | 05 |
| Other Name | Type Code |
|---|---|
| Dierks Health & Rehab Center | Doing Business As Name - Organization |
| Street Address |
402 S. ARKANSAS AVE |
| City | DIERKS |
| State | AR |
| Zip Code | 71833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388071 | Priscilla Faulkner Counseling Service, Inc | Counselor | 1123 Main Avenue, Dierks, AR 71833 | 2016-10-27 |
| 1932225869 | Jana Deann Strode | Speech-Language Pathologist | 900 Old Hwy 70 W, Dierks, AR 71833 | 2007-03-22 |
| 1801958970 | Robert Ernest Gunter | Dentist | 202 East Third Street, Dierks, AR 71833-0088 | 2006-12-15 |
| 1497806533 | Dierks School District | Local Education Agency (LEA) | 900 Old Hwy 70 W, Dierks, AR 71833-0124 | 2007-01-16 |
| 1497766604 | Jen&josh Inc | Pharmacy | 323 Main St, Dierks, AR 71833-0140 | 2006-08-11 |
| 1538210190 | Nita Moore | Respiratory Therapist, Certified | 12915 Highway 278 N, Dierks, AR 71833-8802 | 2007-01-12 |
| 1801448006 | Karen Lee Allen | Case Manager/Care Coordinator | 900 Old Highway 70 W, Dierks, AR 71833-8828 | 2019-07-09 |
| 1457977431 | Shelby Gail Foshee | Case Manager/Care Coordinator | 900 Old Highway 70 W, Dierks, AR 71833-8828 | 2020-06-25 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| 1447731401 | Pm Ops, Inc. | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2018-08-27 |
| Find all providers in zip 71833 | ||||
| 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 |
|---|---|---|---|---|
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| 1447731401 | Pm Ops, Inc. | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
| 1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
| 1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
| 1689117756 | State of Arkansas | Skilled Nursing Facility | 2401 John Ashley Drive, Building #100, North Little Rock, AR 72114 | 2016-11-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANYAN HEALTHCARE SERVICES, 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.