Indian Rock Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

INDIAN ROCK HEALTHCARE LLC

Doing business as

The Springs of Fairfield Bay

Practice address

265 Dave Creek Pkwy
Fairfield Bay, AR 72088-3106

Phone

(501) 884-3210

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By 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

Mr. Jacob Taub

Title

Member

Phone

(917) 703-3274

Specialties & licenses 1

Addresses

Other names 1

• The Springs of Fairfield Bay Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144072695. Details of each certification follow.

• CCN 045153 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045153

Legal name

INDIAN ROCK HEALTHCARE LLC

Doing business as

THE SPRINGS OF FAIRFIELD BAY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 27, 1990

Last certification

Sep 6, 2024

Beds

55

Ownership / control type

Limited Liability Corporation

Multi-facility organization

The Springs of Arkansas

Organization structure

LLCProprietary

Enrollment address

265 Dave Creek Pkwy
Fairfield Bay, AR 72088-3106

Nursing home name

THE SPRINGS OF FAIRFIELD BAY

Affiliated entity

THE SPRINGS ARKANSAS

Listed as

The Springs of Fairfield BayCCN 045153 · All quality measures

Overall star rating

5 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

5 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 27, 1990

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5533.5 residents per day on average

Chain

The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Tax ID family

Indian Rock Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Indian Rock Healthcare LLC

  dba The Springs of Fairfield Bay

  • Assisted Living Facility
  • Fairfield Bay, AR
  • NPI 1942043831
  NPD tax ID

All disclosed owners & managing parties 8

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.

• Keith A Coward, MD

  • Internal Medicine Physician
  • Clinton, AR
  • NPI 1710982871

  Adp of the SNF

  CMS ownership

Facilities with the same owner 2

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

• Texarkana Ar Opco LLC

  dba The Springs of Texarkana

  • Skilled Nursing Facility
  • Texarkana, AR
  • NPI 1649972704

  Red River Management LLC

  CMS ownership
• Waldron Healthcare LLC

  dba The Springs of Waldron

  • Skilled Nursing Facility
  • Waldron, AR
  • NPI 1699504795

  Red River Management LLC

  CMS ownership

Affiliated clinicians 2

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

• Keith A Coward, MD

  • Internal Medicine Physician
  • Clinton, AR
  • NPI 1710982871

  Nursing home

  Care Compare affiliation
• Chad Sherwood, M.D.

  • Family Medicine Physician
  • Searcy, AR
  • NPI 1114970704

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1144072695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 DAVE CREEK PKWY",
            "city": "FAIRFIELD BAY",
            "state": "AR",
            "postal_code": "720883106",
            "telephone_number": "501-884-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN ROCK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-703-3274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs of Fairfield Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bennett Health Services, Inc.
• City of Fairfield Bay
• Healthy Changes Whole Health & Mobility, LLC
• Clemmie Kay Humphreys-Roseberry, SLP
• Indian Rock Al LLC
• Indian Rock Healthcare LLC (The Springs of Fairfield Bay)
• Indian Rock Village, LLC
• Jodi Marie Keller
• Samantha Rose O'Neal
• Ozark Health, Inc (Ozark Medical Clinic - Fairfield Bay)

• Skilled Nursing Facility in Fairfield Bay, AR
• Providers in Fairfield Bay, 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 Apr 5, 2024; 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.