Active NPI
Shiloh Health & Rehab,LLC
- Skilled Nursing Facility
- Springdale, AR
National Provider Identifier
1073787693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SHILOH HEALTH & REHAB,LLC
- Practice address
- 1092 Wagon Wheel Rd
Springdale, AR 72764 - Phone
- (479) 750-3800
- Fax
- (479) 750-3010
- NPI assigned
- Apr 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. David Lamar Norsworthy
- Title
- Coo
- Phone
- (501) 944-5633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | AR | Primary |
Addresses
Primary practice location
1092 Wagon Wheel Rd
Springdale, AR 72764
Mailing address
1092 Wagon Wheel Rd
Springdale, AR 72764
Phone (479) 750-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167339311 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
1092 Wagon Wheel Rd
Springdale, AR 72764
Phone (479) 750-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1073787693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1092 WAGON WHEEL RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764",
"telephone_number": "479-750-3800",
"fax_number": "479-750-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1092 WAGON WHEEL RD",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72764",
"telephone_number": "479-750-3800",
"fax_number": "479-750-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHILOH HEALTH & REHAB,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-15",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "NORSWORTHY",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "LAMAR",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "501-944-5633",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167339311",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.