Organization Active NPI

CHK LLC

Doing business as Pleasant Hill Adult Day Care

  • Adult Day Care Clinic/Center
  • Bryant, AR
National Provider Identifier
1235788829
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5586MedicaidAR

Other names 2

  • Pleasant Hill Adult Day Care Doing business as
  • Pleasant Hill Senior Services Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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.

Verify at the official NPI Registry.