Active NPI
Shiloh Nursing and Rehab, LLC
- Skilled Nursing Facility
- Springdale, AR
National Provider Identifier
1003110263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SHILOH NURSING AND REHAB, LLC
- Practice address
- 1092 W Stultz Rd
Springdale, AR 72764-8240 - Phone
- (479) 750-3800
- Fax
- (479) 750-3802
- NPI assigned
- Jan 3, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael S. Morton
- Title
- Member
- Phone
- (479) 783-4672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1092 W Stultz Rd
Springdale, AR 72764-8240
Mailing address
415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185471311 | Medicaid | AR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110221001045 | AR | Part A Provider - Skilled Nursing Facility | 7012198203 | Practice locations: Springdale, AR |
Skilled nursing facility certification: CCN 045427
- Legal name
- SHILOH NURSING AND REHAB, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 10, 2008
- Last certification
- Feb 27, 2025
- Beds
- 140
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Feb 1, 2011
- Organization structure
- LLC
- Incorporated
- Dec 29, 2010 in AR
- Enrollment address
- 1092 W Stultz Rd
Springdale, AR 72764-8240 - Nursing home name
- SHILOH NURSING AND REHAB, LLC
- Affiliated entity
- CENTRAL ARKANSAS NURSING CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Shiloh Nursing and Rehab, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 10, 2008
- Medicare certification status
- Active
- Certified beds
- 140
- Chain
- Central Arkansas Nursing Centers
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| David L Norsworthy | 5% Or Greater Direct Ownership Interest | Dec 29, 2010 | 40% |
| Adp of the SNF | Dec 12, 2024 | ||
| Paralea L Hursh | 5% Or Greater Direct Ownership Interest | Dec 29, 2010 | 10% |
| Shiloh Estates, LLC | Adp of the SNF | Dec 12, 2024 | |
| Bilal Naeem | Adp of the SNF | Dec 10, 2024 | |
| Jerry D Sams | 5% Or Greater Direct Ownership Interest | Dec 29, 2010 | 10% |
| Michael S Morton | 5% Or Greater Direct Ownership Interest | Dec 29, 2010 | 60% |
| Lesly Rodriguez | Operational/Managerial Control | Dec 10, 2024 | |
| Adp of the SNF | Oct 20, 2004 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Springdale, AR
- NPI 1316901994
Adp of the SNF
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Malvern, AR
- NPI 1942511696
Nursing home
-
- Geriatric Medicine (Internal Medicine) Physician
- Springdale, AR
- NPI 1316901994
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1003110263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ROGERS AVE",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729011903",
"telephone_number": "479-783-4672",
"fax_number": "479-783-2217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 W STULTZ RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727648240",
"telephone_number": "479-750-3800",
"fax_number": "479-750-3802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHILOH NURSING AND REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-03",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "MORTON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "479-783-4672",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185471311",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.