Organization Active NPI

Bear Creek Healthcare, LLC

  • Skilled Nursing Facility
  • De Queen, AR
National Provider Identifier
1154865616
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1054 Issued in AR
Legal business name
BEAR CREEK HEALTHCARE, LLC
Practice address
322 W Collin Raye Dr
De Queen, AR 71832-2007
Phone
(870) 642-3562
Fax
(870) 642-8226
NPI assigned
Dec 16, 2016
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mrs. Cathy Lynn Parsons
Title
Owner
Phone
(501) 499-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1054 AR Primary

Addresses

Primary practice location

322 W Collin Raye Dr
De Queen, AR 71832-2007

Mailing address

PO Box 1369
Conway, AR 72033-1369
Phone (501) 049-9665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170504001194 AR Part A Provider - Skilled Nursing Facility 7012294838 Practice locations: De Queen, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154865616. Details of each certification follow.

Skilled nursing facility certification: CCN 045287

Legal name
BEAR CREEK HEALTHCARE, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1995
Last certification
Oct 17, 2024
Beds
131
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
322 W Collin Raye Dr
De Queen, AR 71832-2007
Nursing home name
BEAR CREEK HEALTHCARE LLC

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bear Creek Healthcare LLCCCN 045287 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13149.2 residents per day on average

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
04D0688970Bear Creek Healthcare322 West Collin Raye Drive, De Queen, AR 71832Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

322 W Collin Raye Dr
De Queen, AR 71832
Phone (870) 642-3562

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Cathy L Parsons Individual 5% Or Greater Direct Ownership Interest Jan 1, 2017 100%
W-2 Managing EmployeeBilling Supervisor Corporate Jan 1, 2017

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": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1154865616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1369",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720331369",
            "telephone_number": "501-049-9665",
            "fax_number": "501-224-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W COLLIN RAYE DR",
            "city": "DE QUEEN",
            "state": "AR",
            "postal_code": "718322007",
            "telephone_number": "870-642-3562",
            "fax_number": "870-642-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR CREEK HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-499-6651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Queen, AR

Sources for this page

Verify at the official NPI Registry.