Organization Active NPI

Skilcare Health Services

  • Skilled Nursing Facility
  • Jonesboro, AR
National Provider Identifier
1184876591
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SKILCARE HEALTH SERVICES
Practice address
2911 Browns LN
Jonesboro, AR 72401-7204
Phone
(870) 935-8330
Fax
(870) 935-8332
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mr. Joey M Wiggins
Title
President
Phone
(501) 305-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2911 Browns LN
Jonesboro, AR 72401-7204

Mailing address

2908 Hawkins Dr
Searcy, AR 72143-4802
Phone (501) 305-3153

Other identifiers 1

IdentifierTypeStateIssuer
174612311MedicaidAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1184876591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 BROWNS LN",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724017204",
            "telephone_number": "870-935-8330",
            "fax_number": "870-935-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILCARE HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-305-3153",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174612311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.