Spring Brook Health & Rehab Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

784 Issued in AR

Legal business name

SPRING BROOK HEALTH & REHAB CENTER, LLC

Doing business as

SpringBrook Health & Rehab Center

Practice address

92 Maple St
Hazen, AR 72064-8203

Phone

(870) 255-4323

Fax

(870) 255-4910

NPI assigned

Feb 27, 2006

Last updated

Dec 9, 2014By 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

Mr. Kurt Lee Luth

Title

Registered Agent

Phone

(501) 833-5627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SpringBrook Health & Rehab Center Doing business as

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1023084225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 LANTRIP RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204161",
            "telephone_number": "501-833-5627",
            "fax_number": "501-835-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MAPLE ST",
            "city": "HAZEN",
            "state": "AR",
            "postal_code": "720648203",
            "telephone_number": "870-255-4323",
            "fax_number": "870-255-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING BROOK HEALTH & REHAB CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "LUTH",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "501-833-5627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157473311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpringBrook Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Hazen, AR
• Providers in Hazen, 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 Dec 9, 2014; 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.