Organization Active NPI

Harrison Healthcare LLC

  • Skilled Nursing Facility
  • Harrison, AR
National Provider Identifier
1295482974
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HARRISON HEALTHCARE LLC
Practice address
115 Orendorff Ave
Harrison, AR 72601-4634
Phone
(870) 741-3438
NPI assigned
Mar 3, 2022
Last updated
Mar 3, 2022By the provider in NPPES
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 NU Primary

Addresses

Primary practice location

115 Orendorff Ave
Harrison, AR 72601-4634

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
O20220802001453 AR Part A Provider - Skilled Nursing Facility 9032591441 Practice locations: Harrison, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295482974. Details of each certification follow.

Skilled nursing facility certification: CCN 045197

Legal name
HARRISON HEALTHCARE LLC
Doing business as
THE SPRINGS OF HARRISON
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 1, 1992
Last certification
Apr 4, 2024
Beds
90
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Springs of Arkansas
Organization structure
LLCProprietary
Incorporated
Feb 14, 2022 in AR
Enrollment address
115 Orendorff Ave
Harrison, AR 72601-4634
Nursing home name
THE SPRINGS OF HARRISON
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs of HarrisonCCN 045197 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9061.4 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
04D0468392Springs of Harrison, the115 Orendorff Avenue, Harrison, AR 72601Certificate of waiverAug 31, 2026

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
Richard B Chitsey Individual Operational/Managerial Control Mar 31, 2022
Adp of the SNF Mar 31, 2022
Black River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Adp of the SNF Mar 31, 2022
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 28.33%
Operational/Managerial Control Mar 31, 2022
Adp of the SNF Mar 31, 2022
Harrison Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 31, 2022
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Mar 31, 2022 28.34%
Operational/Managerial Control Mar 31, 2022
Adp of the SNF Mar 31, 2022
Cathy S Abatangle 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%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1295482974",
    "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": "115 ORENDORFF AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726014634",
            "telephone_number": "870-741-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON HEALTHCARE 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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

Verify at the official NPI Registry.