Organization Active NPI

CNNC, Inc

Doing business as Corning Therapy and Living Center

  • Skilled Nursing Facility
  • Corning, AR
National Provider Identifier
1114354990
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1025 Issued in AR
Legal business name
CNNC, INC
Doing business as
Corning Therapy and Living Center
Practice address
831 N Missouri Ave
Corning, AR 72422-7187
Phone
(870) 857-3100
Fax
(870) 857-6396
NPI assigned
Oct 11, 2013
Last updated
Jan 20, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLE HEALTH SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Anthony Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1025 AR Primary

Addresses

Primary practice location

831 N Missouri Ave
Corning, AR 72422-7187

Mailing address

831 N Missouri Ave
Corning, AR 72422-7187
Phone (870) 857-3100

Other identifiers 1

IdentifierTypeStateIssuer
199879311MedicaidAR

Other names 1

  • CORNING THERAPY AND LIVING CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131228000173 AR Part A Provider - Skilled Nursing Facility 9436386158 Practice locations: Corning, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114354990. Details of each certification follow.

Skilled nursing facility certification: CCN 045433

Legal name
CNNC, INC.
Doing business as
CORNING THERAPY AND LIVING CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 15, 2010
Last certification
Aug 8, 2024
Beds
84
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 19, 2013 in AR
Enrollment address
831 N Missouri Ave
Corning, AR 72422-7187
Nursing home name
CORNING THERAPY AND LIVING CENTER
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Corning Therapy and Living CenterCCN 045433 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 15, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8436.6 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain
Penalties (3 years)
1Fines totaling $8,021

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2009830Corning Therapy & Living Center831 N Missouri, Corning, AR 72422Certificate of waiverJul 14, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Benjamin Cooper Individual Adp of the SNF Nov 1, 2013
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Sep 19, 2013 50%
Corporate OfficerVice President Sep 19, 2013
Adp of the SNF Dec 11, 2024
Ava E Pierce Individual Operational/Managerial Control Mar 17, 2025
Managing Control - Governing BodyFacility Administrator/Gov Body Mar 17, 2025
Adp of the SNF Mar 17, 2025
Eagle Health Systems Inc Organization, Conway, AR Corporation, Holding company, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 19, 2013 100%
James B Cooper Individual Adp of the SNF Nov 1, 2013
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Dec 11, 2024
Patricia a Cahoone Individual Operational/Managerial Control Dec 4, 2024
Managing Control - Governing BodyClinical Nurse Consultant Dec 2, 2024
Adp of the SNF Dec 11, 2024
Larry M McGinnis Individual Adp of the SNF Nov 1, 2013
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Dec 11, 2024
Health Care Solutions, LLC Organization, Melbourne, AR LLC, For-profit Adp of the SNF Dec 11, 2024
John Ellis Individual Adp of the SNF Dec 2, 2024
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Dec 11, 2024
Robert Cooper Individual Adp of the SNF Nov 1, 2013
Direct Ownership Interest Nov 1, 2013 8%
Tobey Koehler Individual Corporate OfficerChief Financial Officer Nov 1, 2023
Adp of the SNF Dec 11, 2024
Lauren E Talbot Individual Operational/Managerial Control Dec 2, 2024
Managing Control - Governing BodyDir of Facility Operations Dec 2, 2024
Adp of the SNF Dec 11, 2024
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Sep 19, 2013 50%
Corporate OfficerPresident Sep 19, 2013 50%
Operational/Managerial Control Nov 27, 2024
James G Sheridan Individual Adp of the SNF Aug 14, 2024

Owners & managing parties with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1114354990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 N MISSOURI AVE",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724227187",
            "telephone_number": "870-857-3100",
            "fax_number": "870-857-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 N MISSOURI AVE",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724227187",
            "telephone_number": "870-857-3100",
            "fax_number": "870-857-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNNC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTH SYSTEMS INC",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "199879311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORNING THERAPY AND LIVING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corning, AR

Sources for this page

Verify at the official NPI Registry.