SCG Health Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SCG HEALTH OPERATIONS, LLC

Doing business as

Gardner Nursing and Rehabilitation

Practice address

702 N Drew St
Star City, AR 71667-5728

Phone

(870) 628-4144

Fax

(870) 628-4891

NPI assigned

May 14, 2020

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

• Gardner Nursing and Rehabilitation Doing business as

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1043832876",
    "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": "702 N DREW ST",
            "city": "STAR CITY",
            "state": "AR",
            "postal_code": "716675728",
            "telephone_number": "870-628-4144",
            "fax_number": "870-628-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCG HEALTH OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gardner Nursing and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Raney, PHARMD
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• Southeast Arkansas Behavioral Healthcare System

• Skilled Nursing Facility in Star City, AR
• Providers in Star City, 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 14, 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.