Prescott SNF Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PRESCOTT SNF OPERATIONS, LLC

Doing business as

Southern Pines Health and Rehab

Practice address

700 Manor Rd
Prescott, AR 71857-2800

Phone

(870) 455-1086

Fax

(870) 887-6690

NPI assigned

May 15, 2020

Last updated

May 15, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joey Wiggins

Title

President

Phone

(501) 412-5961

Specialties & licenses 1

Addresses

Other names 1

• Southern Pines Health and Rehab Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1003438789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8248",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721458248",
            "telephone_number": "501-254-0007",
            "fax_number": "888-866-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MANOR RD",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572800",
            "telephone_number": "870-455-1086",
            "fax_number": "870-887-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT SNF OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-412-5961"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pines Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal D Powell
• Prescott Family Clinic P a
• Prescott Ops, LLC (Southern Pines Health and Rehab)
• Prescott School District
• Prescott School District
• Anthony Bayliss Price, MHPP
• Samuel Lydell Quarles
• Johnna Lynn Quinn, LPC
• Callie Beth Rash
• Michele Rhodes, ADVANCED PRACTICE NU

• Skilled Nursing Facility in Prescott, AR
• Providers in Prescott, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.