NPIMap

Organization Active NPI

Greenhurst SNF Operations LLC

  • Skilled Nursing Facility
  • Charleston, AR
National Provider Identifier
1063229805
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
GREENHURST SNF OPERATIONS LLC
Practice address
226 Skyler Dr
Charleston, AR 72933-9337
Phone
(479) 965-7373
Fax
(479) 965-7372
NPI assigned
Dec 16, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
John Ponthie
Title
Member
Phone
(318) 216-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

226 Skyler Dr
Charleston, AR 72933-9337

Mailing address

2230 S Macarthur Dr Ste 9
Alexandria, LA 71301-3059
Phone (318) 443-8167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250602003352 AR Part A Provider - Skilled Nursing Facility 9032628995 Practice locations: Charleston, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063229805. Details of each certification follow.

Skilled nursing facility certification: CCN 045447

Legal name
GREENHURST SNF OPERATIONS, LLC
Doing business as
GREENHURST NURSING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 21, 2012
Last certification
Apr 18, 2024
Beds
113
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
226 Skyler Drive
Charleston, AR 72933-9337
Nursing home name
GREENHURST NURSING CENTER
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Greenhurst Nursing CenterCCN 045447 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Feb 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11389.7 residents per day on average
Chain
Southern Administrative Services35 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
04D0642397Greenhurst Nursing Center226 Skyler Drive, Charleston, AR 72933Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teams Staffing LLC Organization, Alexandria, LA LLC, Medical staffing company, For-profit Adp of the SNF Aug 1, 2024
Greenhurst Assets, LLC Organization, Alexandria, LA LLC Adp of the SNF Aug 1, 2024
Procare Therapy Services LLC Organization, Alexandria, LA LLC, Medical provider/supplier, For-profit Adp of the SNF Aug 1, 2024
Jonas C Schaffer Individual Operational/Managerial Control Aug 1, 2024
Adp of the SNF Aug 1, 2024
Professional Nursing Solutions, LLC Organization, Little Rock, AR LLC, Consulting firm Adp of the SNF Aug 1, 2024
James L Schmitz Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
John F Ponthie Individual 5% Or Greater Indirect Ownership InterestOwner-Jej Management, LLC, Gener Aug 1, 2024 50%
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership InterestOwner-Jej Management, LLC, Gener Aug 1, 2024 50%
Southern Administrative Services, LLC Organization, Alexandria, LA LLC Adp of the SNF Aug 1, 2024
4P2T1 Ops Holding LP Organization, Houston, TX Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 37

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

View all 37

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1063229805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S MACARTHUR DR STE 9",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013059",
            "telephone_number": "318-443-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SKYLER DR",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729339337",
            "telephone_number": "479-965-7373",
            "fax_number": "479-965-7372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHURST SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-216-3316"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, AR

Sources for this page

Verify at the official NPI Registry.