Clarksville Community Health & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

945 Issued in AR

Legal business name

CLARKSVILLE COMMUNITY HEALTH & REHABILITATION LLC

Practice address

400 Oak CT
Clarksville, AR 72830-3778

Phone

(317) 841-2377

NPI assigned

Aug 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Jerry V. Kemper

Title

President

Phone

(317) 598-9586

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1033424833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 CROSSPOINT BLVD STE 104",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462563321",
            "telephone_number": "317-598-9467",
            "fax_number": "317-845-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 OAK CT",
            "city": "CLARKSVILLE",
            "state": "AR",
            "postal_code": "728303778",
            "telephone_number": "317-841-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSVILLE COMMUNITY HEALTH & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-598-9586",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186044311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Chevalier, CMP
• Hilary Spring Childers, LPE
• Astrid Christensen
• John Clarady
• Erin Elizabeth Ann Clark, LAC
• Clarksville Dentistry, Inc.
• Clarksville Family Pharmacy Inc (Clarksville Family Pharmacy)
• Clarksville Health & Rehab,LLC
• Clarksville Medical Group, P.a.
• Clarksville Medical Group, P.a.

• Skilled Nursing Facility in Clarksville, AR
• Providers in Clarksville, 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 Apr 20, 2011; 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.