CHC Manila Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHC MANILA NURSING CENTER, LLC

Doing business as

Manila Healthcare Center

Practice address

814 N Davis St
Manila, AR 72442-9107

Phone

(870) 561-3342

Fax

(870) 561-3344

NPI assigned

Sep 14, 2018

Last updated

Oct 4, 2024By 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

Boy Wright

Title

Ceo

Phone

(870) 347-0001

Specialties & licenses 1

Addresses

Other names 1

• Manila Healthcare Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1053894097. Details of each certification follow.

• CCN 045297 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045297

Legal name

CHC MANILA NURSING CENTER LLC

Doing business as

MANILA HEALTHCARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 1, 1996

Last certification

Jan 24, 2025

Beds

84

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Aug 28, 2018 in AR

Enrollment address

814 N Davis St
Manila, AR 72442-0430

Listed as

Manila Healthcare CenterCCN 045297 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 1, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8475.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 13

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.

• Mark S Hahn, DO

  • Family Medicine Physician
  • Caraway, AR
  • NPI 1609895911

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• CHC Gosnell Health and Rehab, LLC

  dba Gosnell Health and Rehab

  • Skilled Nursing Facility
  • Gosnell, AR
  • NPI 1386127488

  Care Systems, LLC, Pharmacy Consults, LLC

  CMS ownership
• CHC Heritage Square Nursing Center, LLC

  dba Heritage Square Healthcare Center

  • Skilled Nursing Facility
  • Blytheville, AR
  • NPI 1205319340

  BWDV Holdings, LLC, Credence Health Care, LLC, Pharmacy Consults, LLC

  CMS ownership
• CHC Lakeside Nursing Center, LLC

  dba Lakeside Health and Rehab

  • Skilled Nursing Facility
  • Lake City, AR
  • NPI 1447733480

  BWDV Holdings, LLC, Credence Health Care, LLC, Pharmacy Consults, LLC

  CMS ownership
• Trumman Ops, Inc.

  dba Quail Run Health and Rehab

  • Skilled Nursing Facility
  • Trumann, AR
  • NPI 1104469527

  Pharmacy Consults, LLC

  CMS ownership
• WRNC Inc

  dba Chapel Woods Health and Rehabilitation

  • Skilled Nursing Facility
  • Warren, AR
  • NPI 1477897130

  Pharmacy Consults, LLC

  CMS ownership

Affiliated clinicians 1

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

• Kristi Qualls Price, M.D.

  • Family Medicine Physician
  • Lake City, AR
  • NPI 1639136609

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1053894097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HIGHWAY 64 E STE D",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720065158",
            "telephone_number": "870-347-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 N DAVIS ST",
            "city": "MANILA",
            "state": "AR",
            "postal_code": "724429107",
            "telephone_number": "870-561-3342",
            "fax_number": "870-561-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC MANILA NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-14",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BOY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-347-0001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Manila Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Renee Beach, LAC
• Grace Benedict
• Patience Marye Bishop, QBHP
• Leah Rhea Branum
• Karen Nelda Burks, MSP, CCC-SLP
• Rachel Churchill, RN
• Laura Clark, MHPP
• Anita Kaye Cole, QBHP
• Brandon Corey Craine, OD
• Chassidy Crawford, LMSW

• Skilled Nursing Facility in Manila, AR
• Providers in Manila, 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 Oct 4, 2024; 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.