Nwa Health & Rehab Center

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

0604046 Issued in AR

Legal business name

NWA HEALTH & REHAB CENTER

Practice address

3906 Kelley Ave
Springdale, AR 72762-4936

Phone

(479) 756-3983

Fax

(479) 756-9974

NPI assigned

May 19, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andre Paczocha

Title

Owner

Phone

(479) 224-6302

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew Nickle, P.T.

  • Health Information Specialist/Technologist
  • Springdale, AR
  • NPI 1306891965
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1285687152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727650423",
            "telephone_number": "479-224-6302",
            "fax_number": "479-756-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 KELLEY AVE",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727624936",
            "telephone_number": "479-756-3983",
            "fax_number": "479-756-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWA HEALTH & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PACZOCHA",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-224-6302"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "AR",
            "license": "0604046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC BC/BS",
            "identifier": "5F538",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Novak, MHPP/BS
• Jason Andrew Nutt, MHPP
• Carolyn Nutter, PA
• Nuview Health Arkansas PLLC
• Nwa Christian Counseling Group, Inc. Dba Brookway Counseling (Brookway Counseling)
• Nwa Hope and Healing, PLLC (Curt Matzenbacher, LPC, LMFT)
• Nwa Nursing Center, LLC (The Maples at Har-Ber Meadows)
• Nwa Speech & Reading LLC
• Nwa Wound Treatment & Limb Preservation
• Nwaci

• Other Technician in Springdale, AR
• Providers in Springdale, AR by specialty
• Other Technician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.