Organization Active NPI

Shiloh Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Springdale, AR
National Provider Identifier
1003110263
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Aug 20, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
185471311MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 045427
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 10, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
140129.1 residents per day on average
Chain
Central Arkansas Nursing Centers38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
David L Norsworthy Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 40%
Adp of the SNF Dec 12, 2024
Paralea L Hursh Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 10%
Shiloh Estates, LLC Organization, Fort Smith, AR LLC Adp of the SNF Dec 12, 2024
Bilal Naeem Individual Adp of the SNF Dec 10, 2024
Jerry D Sams Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 10%
Michael S Morton Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 60%
Lesly Rodriguez Individual 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.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.