NPIMap

Organization Active NPI

Wentworth LLC

Doing business as The Green House Cottages of Wentworth Place

  • Skilled Nursing Facility
  • Magnolia, AR
National Provider Identifier
1174802888
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WENTWORTH LLC
Doing business as
The Green House Cottages of Wentworth Place
Practice address
26 Warnock Springs Rd
Magnolia, AR 71753-9000
Phone
(870) 234-1361
Fax
(870) 234-4267
NPI assigned
Aug 11, 2011
Last updated
Sep 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Ross Ponthie
Title
Member
Phone
(318) 443-8167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

26 Warnock Springs Rd
Magnolia, AR 71753-9000

Mailing address

26 Warnock Springs Rd
Magnolia, AR 71753-9000
Phone (870) 234-1361

Other names 1

  • THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191014001062 AR Part A Provider - Skilled Nursing Facility 2961733589 Practice locations: Magnolia, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174802888. Details of each certification follow.

Skilled nursing facility certification: CCN 045187

Legal name
WENTWORTH, LLC
Doing business as
THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1992
Last certification
Sep 19, 2024
Beds
126
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 13, 2019 in AR
Enrollment address
26 Warnock Springs Rd
Magnolia, AR 71753-9000
Nursing home name
THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Green House Cottages of Wentworth PlaceCCN 045187 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
5 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
126104.9 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Christopher Willis Individual W-2 Managing EmployeeAdministrator Jan 1, 2022
Jej Assets LP Organization, Alexandria, LA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Limited Partnership Interest Aug 1, 2019 40%
Alexark1 LLC Organization, Shreveport, LA LLC General Partnership Interest Jan 1, 2022 100%
Jej Management, LLC Organization, Shreveport, LA LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2022
General Partnership Interest Jan 1, 2022 100%
John F Ponthie Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 50%
Corporate DirectorMember of Board of Directors Jan 1, 2022 100%
Other Aug 1, 2019 40%
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2022 50%
4P2T1 Ops Holding LP Organization, Houston, TX Holding company 5% Or Greater Direct Ownership Interest Aug 1, 2019 100%

Facilities with the same owner 38

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

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1313020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1174802888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WARNOCK SPRINGS RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717539000",
            "telephone_number": "870-234-1361",
            "fax_number": "870-234-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WARNOCK SPRINGS RD",
            "city": "MAGNOLIA",
            "state": "AR",
            "postal_code": "717539000",
            "telephone_number": "870-234-1361",
            "fax_number": "870-234-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENTWORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-11",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-443-8167"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE GREEN HOUSE COTTAGES OF WENTWORTH PLACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, AR

Sources for this page

Verify at the official NPI Registry.