Organization Active NPI

Shiloh Health & Rehab,LLC

  • Skilled Nursing Facility
  • Springdale, AR
National Provider Identifier
1073787693
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on May 1, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
167339311MedicaidAR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.