NPIMap

Organization Active NPI

Premier Wellness LLC

  • Skilled Nursing Facility
  • North Little Rock, AR
National Provider Identifier
1194472894
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PREMIER WELLNESS LLC
Practice address
3600 Richards Rd
North Little Rock, AR 72117-2921
Phone
(501) 955-2108
NPI assigned
Mar 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Jacob Taub
Title
Authorized Rep
Phone
(718) 838-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3600 Richards Rd
North Little Rock, AR 72117-2921

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907000819 AR Part A Provider - Skilled Nursing Facility 7911381132 Practice locations: North Little Rock, AR

Skilled nursing facility certification: CCN 045357

Legal name
PREMIER WELLNESS LLC
Doing business as
PREMIER AT THE SPRINGS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Mar 9, 2000
Last certification
May 8, 2024
Beds
132
Ownership / control type
Limited Liability Corporation
Multi-facility organization
The Springs of Arkansas
Organization structure
LLCNon-profit
Incorporated
Jul 12, 2021 in AR
Enrollment address
3600 Richards Rd
North Little Rock, AR 72117-2921
Nursing home name
PREMIER AT THE SPRINGS
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Premier at the SpringsCCN 045357
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 9, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
132119.2 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

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
04D0965374Premier at the Springs3600 Richards Road, North Little Rock, AR 72117Certificate of waiverSep 19, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Black River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Mar 31, 2022
Adp of the SNF May 20, 2025
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 28.33%
Robin G Hayes Individual Operational/Managerial Control Jul 1, 2024
Adp of the SNF Jul 1, 2024
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 28.34%
Jeffrey D Thessing Individual Operational/Managerial Control Mar 31, 2022
Adp of the SNF Mar 31, 2022
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 28.33%
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 15%
Richards Road Realty LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 31, 2022

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 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1194472894",
    "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": "3600 RICHARDS RD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172921",
            "telephone_number": "501-955-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "AUTHORIZED REP",
        "authorized_official_telephone_number": "718-838-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

Verify at the official NPI Registry.