Crownpoint Health & Rehab Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CROWNPOINT HEALTH & REHAB CENTER

Practice address

1203 S Bend Dr
Horseshoe Bend, AR 72512-3727

Phone

(870) 670-1534

Fax

(870) 670-4251

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Kurt Lee Luth

Title

Registered Agent

Phone

(501) 833-5627

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CrownPoint Health & Rehab Center Doing business as

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1073701538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 LANTRIP RD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721204161",
            "telephone_number": "501-833-5627",
            "fax_number": "501-835-6905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S BEND DR",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725123727",
            "telephone_number": "870-670-1534",
            "fax_number": "870-670-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWNPOINT HEALTH & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "LUTH",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "501-833-5627"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165815311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CrownPoint Health & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• C and M LLC
• Sheri Callaway
• Community Medical Center of Izard County
• Connections Counseling Center
• Crown Point Healthcare & Rehabilitation Center LLC
• Diamond Cove, LLC
• Tyleigh Dodge
• E and F Fowler Inc
• E&F Fowler Inc
• E&F Fowler Inc

• Skilled Nursing Facility in Horseshoe Bend, AR
• Providers in Horseshoe Bend, 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 Dec 9, 2014; 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.