STONEGATE VILLA HEALTH AND REHABILITATION LLC (NPI# 1861708885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861708885 |
| Entity Type | Organization |
| Organization Name | STONEGATE VILLA HEALTH AND REHABILITATION LLC |
| Practice Address |
118 Jerry Selby Drive Crossett AR 71635 |
| Mailing Address |
1423 Clarkview Rd Suite 500 Baltimore MD 21209-2134 |
| Practice Telephone | 3178412377 |
| Mailing Telephone | 4104272700 |
| Mailing Fax Number | 4148155558 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MR. BRIAN K. REYNOLDS (MANAGER) |
| Authorized Official Telephone | 4105138738 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 188898311 | 05 |
| Street Address |
118 JERRY SELBY DRIVE |
| City | CROSSETT |
| State | AR |
| Zip Code | 71635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861873929 | Kayley A Harris | Social Worker | 1308 West 5th, Crossett, AR 71635 | 2015-06-15 |
| 1134552136 | Shonta G. Paskel | Licensed Practical Nurse | 1308 W. 5th Street, Crossett, AR 71635 | 2013-08-13 |
| 1457688673 | Crystal L Pippen | Case Manager/Care Coordinator | 1308 W. 5th St., Crossett, AR 71635 | 2009-11-09 |
| 1851526602 | Paula Aletha Wall | Case Manager/Care Coordinator | 1802 Hwy 82 West, Crossett, AR 71635 | 2009-05-22 |
| 1982855979 | Megan T Harris | Counselor | 615 W 1st Avenue, Crossett, AR 71635 | 2008-10-08 |
| 1063661882 | Helen Davis | Social Worker | 1308 W 5th Street, Crossett, AR 71635 | 2008-09-17 |
| 1043469869 | Shajuana Brown | Social Worker | 1308 West 5th St., Crossett, AR 71635 | 2008-09-17 |
| 1750537387 | Wanda F Hicks | Licensed Practical Nurse | 1308 West 5th Ave, Crossett, AR 71635 | 2008-08-14 |
| 1760654156 | John R Garlington | Psychologist | 1308 West 5th Street, Crossett, AR 71635 | 2008-03-26 |
| 1528193877 | Evon Moore | Case Manager/Care Coordinator | 1802 Hwy 82 W, Crossett, AR 71635 | 2007-02-23 |
| Find all providers in zip 71635 | ||||
| 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 |
|---|---|---|---|---|
| 1023474343 | Stonegate Holdings LLC | Skilled Nursing Facility | 118 Jerry Selby Dr, Crossett, AR 71635-4734 | 2016-01-04 |
| 1669703187 | Ashley Nursing Center Inc | Skilled Nursing Facility | 114 Chester Ashley Dr, Crossett, AR 72635 | 2010-01-22 |
| 1548212707 | Ggnsc Crossett LLC | Skilled Nursing Facility | 1101 Waterwell Rd, Crossett, AR 71635-4152 | 2006-05-16 |
| 1972961464 | Meshelle Smith | Skilled Nursing Facility | 118 Jerry Selby Dr, Crossett, AR 71635-4734 | 2016-01-29 |
| 1780041244 | Daniel William Van Dyck | Skilled Nursing Facility | 118 Jerry Selby Dr, Crossett, AR 71635-4734 | 2016-01-28 |
| 1659745180 | Somerset Senior Living At Crossett, Inc. | Skilled Nursing Facility | 1101 Waterwell Rd, Crossett, AR 71635 | 2015-11-20 |
| 1669616470 | Pinewood Health and Rehabilitation, LLC | Skilled Nursing Facility | 1101 Waterwell Rd, Crossett, AR 71635-4152 | 2009-04-23 |
| 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 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on STONEGATE VILLA HEALTH AND REHABILITATION 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.