Waldron Nursing Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WALDRON NURSING OPCO LLC

Doing business as

Waldron Nursing and Rehab

Practice address

1369 W 6TH St
Waldron, AR 72958-7642

Phone

(479) 637-3171

Fax

(479) 637-1046

NPI assigned

Jun 1, 2022

Last updated

Aug 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ethan Dreifus

Title

Authorized Signatory

Phone

(501) 961-8100

Specialties & licenses 1

Addresses

Other names 1

• Waldron Nursing and Rehab Doing business as

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1083353791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8250",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721458250",
            "telephone_number": "501-254-0007",
            "fax_number": "888-866-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W 6TH ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587642",
            "telephone_number": "479-637-3171",
            "fax_number": "479-637-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDRON NURSING OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "DREIFUS",
        "authorized_official_first_name": "ETHAN",
        "authorized_official_title_or_position": "AUTHORIZED SIGNATORY",
        "authorized_official_telephone_number": "501-961-8100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldron Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waldron Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Truelove, LAC
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• Waldron Healthcare LLC (The Springs of Waldron)
• Waldron Nursing Center,Inc.
• Waldron Public Schools
• Waldron SNF Operations LLC (Waldron Nursing and Rehab)
• Walgreen Co (Walgreens #15797)
• Phyllis Cleland Wilcox, PD
• Stephen Williams, PHARMD

• Skilled Nursing Facility in Waldron, AR
• Providers in Waldron, 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 Aug 9, 2023; 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.