Active NPI
CHK LLC
Doing business as Pleasant Hill Adult Day Care
- Adult Day Care Clinic/Center
- Bryant, AR
National Provider Identifier
1235788829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- CHK LLC
- Doing business as
- Pleasant Hill Adult Day Care
Pleasant Hill Senior Services - Practice address
- 3418 Main St Ste 100
Bryant, AR 72022-6001 - Phone
- (501) 777-9500
- Fax
- (501) 481-8926
- NPI assigned
- Sep 6, 2019
- Last updated
- Oct 24, 2024
- Organization subpart
- Yes
- Parent organization
- CHK LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristi Gwatney, RN
- Title
- Owner
- Phone
- (501) 777-9500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary | |
| In Home Supportive Care Agency | 253Z00000X | NU |
Addresses
Primary practice location
3418 Main St Ste 100
Bryant, AR 72022-6001
Mailing address
3418 Main St Ste 100
Bryant, AR 72022-6001
Phone (501) 777-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5586 | Medicaid | AR |
Other names 2
- Pleasant Hill Adult Day Care
- Pleasant Hill Senior Services
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | CHKLLC | Direct | |
| CONNECT URL | kristi@pleasanthillseniors.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider Directory- Part of
- CHK LLC
Locations
115 Cross
Benton, AR 72015
3418 Main St
Ste 100
Bryant, AR 72022
Phone (501) 777-9500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1235788829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3418 MAIN ST STE 100",
"city": "BRYANT",
"state": "AR",
"postal_code": "720226001",
"telephone_number": "501-777-9500",
"fax_number": "501-481-8926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3418 MAIN ST STE 100",
"city": "BRYANT",
"state": "AR",
"postal_code": "720226001",
"telephone_number": "501-777-9500",
"fax_number": "501-481-8926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHK LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHK LLC",
"enumeration_date": "2019-09-06",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "GWATNEY",
"authorized_official_first_name": "KRISTI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-777-9500",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5586",
"state": "AR"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "CHKLLC",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 Cross",
"city": "Benton",
"state": "AR",
"country_code": "US",
"postal_code": "720153701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kristi@pleasanthillseniors.com",
"affiliation": "N",
"endpointDescription": "phseniorservices@gmail.com",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "115 Cross",
"city": "Benton",
"state": "AR",
"country_code": "US",
"postal_code": "720153701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Pleasant Hill Adult Day Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pleasant Hill Adult Day Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Pleasant Hill Senior Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.