Methodist Nursing Home of Fort Smith, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

215 Issued in AR

Legal business name

METHODIST NURSING HOME OF FORT SMITH, INC.

Practice address

7425 Euper LN
Fort Smith, AR 72903

Phone

(479) 452-1611

Fax

(479) 452-1619

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn A McCall

Title

Administrator

Phone

(479) 452-1611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Methodist Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Skilled nursing facility certification: CCN 045413

Legal name

METHODIST NURSING HOME OF FORT SMITH, INC.

Doing business as

METHODIST HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jun 7, 2006

Last certification

Oct 24, 2024

Beds

145

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Feb 1, 1959 in AR

Enrollment address

7425 Euper Lane
Fort Smith, AR 72903-4280

Nursing home name

METHODIST HEALTH AND REHAB

Listed as

Methodist Health and RehabCCN 045413

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Jun 7, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

145126.7 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Bradley Mark Short, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Smith, AR
  • NPI 1568404598

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Jimmy David Acklin, M.D.

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1356345052

  Nursing home

  Care Compare affiliation
• John C Lane, M.D.

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1467740225

  Nursing home

  Care Compare affiliation
• Bradley Mark Short, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Fort Smith, AR
  • NPI 1568404598

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1003901802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-452-1611",
            "fax_number": "479-452-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 EUPER LN",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-452-1611",
            "fax_number": "479-452-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METHODIST NURSING HOME OF FORT SMITH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "479-452-1611"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109008311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystle Merry, RBT
• Andy Messenger, PT
• Kathryn Elizabeth Metcalf
• Kevin Blake Metcalf, RD
• Randy K Metcalf, MD
• Mitzi Meyers, MHPP
• Dana L Michael, RN
• Matthew James Michael, MD
• Gina Miesner, LPE
• Sharon Miesner, O.T.

• All providers in Fort Smith, AR
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.

Verify at the official NPI Registry.