NPIMap

Organization Active NPI

Arkansas Complete Care

Doing business as Complete Pulmonary Rehab

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Hot Springs, AR
National Provider Identifier
1063711901
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
ARKANSAS COMPLETE CARE
Doing business as
Complete Pulmonary Rehab
Practice address
190 Aviation PLZ Ste a-C
Hot Springs, AR 71913-5529
Phone
(501) 525-2770
Fax
(501) 781-2234
NPI assigned
Mar 17, 2011
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS COMPLETE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Mrs. Kris E Bell-Hicks, RT
Title
Coo
Phone
(501) 525-2770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X NU Primary

Addresses

Primary practice location

190 Aviation PLZ Ste a-C
Hot Springs, AR 71913-5529

Mailing address

190 Aviation PLZ Ste D
Hot Springs, AR 71913-5531
Phone (501) 252-7705

Other identifiers 1

IdentifierTypeStateIssuer
204896742MedicaidAR

Other names 1

  • Complete Pulmonary Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000742 AR Part A Provider - Comprehensive Outpatient Rehabilitation Facility 0143482919 1 other NPI on this enrollment
Practice locations: Hot Springs, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1063711901. Details of each certification follow.

  • CCN 044510 Comprehensive outpatient rehabilitation facility · Active · Name & address match · Details

Comprehensive outpatient rehabilitation facility certification: CCN 044510

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMPLETE PULMONARY REHAB
Certification status
Active
Provider type (POS)
Comprehensive outpatient rehabilitation facility
Participating since
Jan 4, 2013
Last certification
Sep 18, 2019
Ownership / control type
Proprietary
Facility address
190 Aviation Plaza, Suites a-D
Hot Springs, AR 71913

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Arkansas Complete Care2 organizations share this tax ID, including this one
Part of
Arkansas Complete Care

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

190 Aviation Plz
Ste Ac
Hot Springs, AR 71913
Phone (501) 525-2770

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1063711901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE D",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135531",
            "telephone_number": "501-252-7705",
            "fax_number": "501-232-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 AVIATION PLZ STE A-C",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719135529",
            "telephone_number": "501-525-2770",
            "fax_number": "501-781-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS COMPLETE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS COMPLETE CARE",
        "enumeration_date": "2011-03-17",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "BELL-HICKS",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "501-525-2770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204896742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Pulmonary Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.