Organization Active NPI

Innisfree Health and Rehab, LLC

  • Skilled Nursing Facility
  • Rogers, AR
National Provider Identifier
1043514219
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
INNISFREE HEALTH AND REHAB, LLC
Practice address
301 S 24TH St
Rogers, AR 72758-1116
Phone
(479) 636-5545
Fax
(479) 636-3092
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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

301 S 24TH St
Rogers, AR 72758-1116

Mailing address

415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-7672

Other identifiers 1

IdentifierTypeStateIssuer
185473311MedicaidAR

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
O20110225000854 AR Part A Provider - Skilled Nursing Facility 2567643307 Practice locations: Rogers, AR

Skilled nursing facility certification: CCN 045302

Legal name
INNISFREE HEALTH AND REHAB, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 15, 1996
Last certification
Nov 15, 2024
Beds
104
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2011
Organization structure
LLCProprietary
Enrollment address
301 South 24TH Street
Rogers, AR 72758-1116
Nursing home name
INNISFREE HEALTH AND REHAB, LLC
Affiliated entity
CENTRAL ARKANSAS NURSING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Innisfree Health and Rehab, LLCCCN 045302 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 15, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10482.2 residents per day on average
Chain
Central Arkansas Nursing Centers38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0898598Innisfree Health & Rehab, LLC301 South 24TH Street, Rogers, AR 72758Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
David L Norsworthy Individual 5% Or Greater Direct Ownership Interest Aug 1, 2025 40%
Limited Partnership Interest Dec 29, 2010 20%
Adp of the SNF Aug 1, 2025
Julia Beldyga Individual Operational/Managerial Control Dec 10, 2024
Adp of the SNF Oct 20, 2004
Paralea L Hursh Individual 5% Or Greater Direct Ownership Interest Dec 12, 2024 10%
Innisfree Estates, LLC Organization, Fort Smith, AR LLC Adp of the SNF Dec 12, 2024
Jerry D Sams Individual 5% Or Greater Direct Ownership Interest Dec 12, 2024 10%
Nursing Consultants Inc Organization, Fort Smith, AR Corporation, Consulting firm Adp of the SNF Nov 10, 2025
Michael S Morton Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 60%
Limited Partnership Interest Dec 29, 2010 60%
Kimberly D Burner Individual Adp of the SNF Dec 10, 2024

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 3

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": "1787097600000",
    "number": "1043514219",
    "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": "479-783-7672",
            "fax_number": "479-783-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581116",
            "telephone_number": "479-636-5545",
            "fax_number": "479-636-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNISFREE HEALTH AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "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": "185473311",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "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 Rogers, AR

Sources for this page

Verify at the official NPI Registry.