Cottage Lane Health Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COTTAGE LANE HEALTH OPCO LLC

Practice address

800 Brookside Dr
Little Rock, AR 72205-1644

Phone

(501) 224-3940

Fax

(501) 224-6649

NPI assigned

May 18, 2022

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

• Cottage Lane Health and Rehab Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Skilled nursing facility certification: CCN 045458

Legal name

COTTAGE LANE HEALTH OPCO LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 4, 2016

Last certification

Nov 21, 2024

Beds

143

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Feb 16, 2022 in DE

Enrollment address

800 Brookside Dr
Little Rock, AR 72205-1644

Listed as

The Blossoms at Breckenridge Rehab & Nursing CenteCCN 045458

Overall star rating

1 of 5

Health inspections

2 of 5

Staffing

2 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 4, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14384.8 residents per day on average

Penalties (3 years)

2Fines totaling $28,654

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Timothy Scott Simmons, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1134219603

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Allarian Rehabilitation & Senior Living LLC

  • Skilled Nursing Facility
  • Hialeah, FL
  • NPI 1033839311

  Biggest Rock SNF Irrevocable Trust, Healthcare Investment Holdings LLC

  CMS ownership
• Daytona FL Operating Company LLC

  • Skilled Nursing Facility
  • Daytona Beach, FL
  • NPI 1184337073

  Biggest Rock SNF Irrevocable Trust, Healthcare Investment Holdings LLC

  CMS ownership
• Deland FL Opco, LLC

  • Skilled Nursing Facility
  • Deland, FL
  • NPI 1962115865

  Biggest Rock SNF Irrevocable Trust, Healthcare Investment Holdings LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Benny J Green, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1609873983

  Nursing home

  Care Compare affiliation
• Timothy Scott Simmons, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1134219603

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1104563428",
    "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": "800 BROOKSIDE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051644",
            "telephone_number": "501-224-3940",
            "fax_number": "501-224-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTAGE LANE HEALTH OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "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": "Cottage Lane Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cottage Lane Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Costco Wholesale Corporation
• Costco Wholesale Corporation
• Candace Helen Cote, MD
• Britney Anne Cothren, PHARM.D.
• Jasmin Ann Cotoco, MD
• Karen R Cotterman, CRNA
• Emily Courtney Cotton, AUD
• Houston Cotton, PA-C
• Lakeicha T Cottrell, APRN
• Jace Couch

• Skilled Nursing Facility in Little Rock, AR
• Providers in Little Rock, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.