COLONEL GLENN HEALTH AND REHAB, LLC (NPI# 1962860445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962860445 |
| Entity Type | Organization |
| Organization Name | COLONEL GLENN HEALTH AND REHAB, LLC |
| Practice Address |
13700 David O Dodd Rd Little Rock AR 72210-2747 |
| Mailing Address |
415 Rogers Ave Fort Smith AR 72901-1903 |
| Practice Telephone | 5019078200 |
| Practice Fax Number | 5019078205 |
| Mailing Telephone | 4797834672 |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | MR. MICHAEL S MORTON (MEMBER) |
| Authorized Official Telephone | 4797834672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 213519311 | 05 |
| Street Address |
13700 DAVID O DODD RD |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72210-2747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487290888 | John Hunter Bramlitt | Counselor | 12320 I-30, Little Rock, AR 72210 | 2019-11-20 |
| 1972159267 | Arkansas Baptist Children's Homes and Family Ministries | Counselor | 12400 I-30, Little Rock, AR 72210 | 2019-08-13 |
| 1952956864 | Hanrietta Evans | Behavior Technician | Youth Home Inc, 20302 Colonel Glenn Rd, Little Rock, AR 72210 | 2019-08-07 |
| 1821597287 | Deanna Smith | Counselor | 12320 I-30 Frontage Road, Little Rock, AR 72210 | 2018-02-12 |
| 1922485481 | Whitney Brown | Social Worker | 20400 Colonel Glenn, Little Rock, AR 72210 | 2015-05-04 |
| 1679978191 | Jennifer Black | Counselor | 20302 Col Glenn Road, Little Rock, AR 72210 | 2014-10-27 |
| 1831593896 | James William Takach | Family Medicine | 14519 Wimbledon Loop, Little Rock, AR 72210 | 2014-10-20 |
| 1811319734 | Ben Malone | Case Manager/Care Coordinator | 20400 Col Glenn Road, Little Rock, AR 72210 | 2014-01-12 |
| 1487924296 | Tara Brown | Case Manager/Care Coordinator | 20302 Colonel Glenn Rd., Little Rock, AR 72210 | 2012-01-10 |
| 1972889061 | D. Rachelle Rial | Case Manager/Care Coordinator | 20400 Col Glenn Rd., Little Rock, AR 72210 | 2011-11-02 |
| Find all providers in zip 72210 | ||||
| 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 |
| 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 |
| 1689751810 | Arkansas Elder Outreach of Little Rock, Inc. | Skilled Nursing Facility | 12111 Hinson Rd, Little Rock, AR 72212-3410 | 2006-11-01 |
| 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 | 72210 |
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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.