Organization Active NPI

White River Healthcare LLC

  • Skilled Nursing Facility
  • Newport, AR
National Provider Identifier
1104872522
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
737 Issued in AR
Legal business name
WHITE RIVER HEALTHCARE LLC
Practice address
1005 McLain St
Newport, AR 72112-3529
Phone
(870) 523-4333
Fax
(870) 523-4341
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Mr. Rick D Sampson
Title
Agent
Phone
(870) 523-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 737 AR Primary

Addresses

Primary practice location

1005 McLain St
Newport, AR 72112-3529

Mailing address

601 Calico Street
Calico Rock, AR 72519
Phone (870) 297-3719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326000215 AR Part A Provider - Skilled Nursing Facility 4385536226 Practice locations: Calico Rock, AR

Skilled nursing facility certification: CCN 045401

Legal name
WHITE RIVER HEALTHCARE LLC
Doing business as
WHITE RIVER HEALTHCARE AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 20, 2004
Last certification
Nov 21, 2024
Beds
70
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 27, 2001 in AR
Enrollment address
1569 Highway 56
Calico Rock, AR 72519-8007
Nursing home name
WHITE RIVER HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
White River HealthcareCCN 045401
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 20, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7047.4 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lucas Hudson Individual Corporate DirectorManaging Director Jan 1, 2022 100%
Operational/Managerial Control Jan 1, 2022
Hudson Holding Company, Inc Organization, Calico Rock, AR Created for acquisition, Holding company 5% Or Greater Direct Ownership Interest Dec 13, 2012 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1104872522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CALICO STREET",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "72519",
            "telephone_number": "870-297-3719",
            "fax_number": "870-297-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123529",
            "telephone_number": "870-523-4333",
            "fax_number": "870-523-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE RIVER HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "870-523-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, AR

Sources for this page

Verify at the official NPI Registry.