Advanced Care Hospital of White County
Organization Active NPI Long Term Care Hospital · Searcy, AR
NPI 1295862647 · NPPES record last updated Dec 15, 2022
Key facts
- NPI
- 1295862647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Hospital 282E00000X
- Legal business name
- ADVANCED CARE HOSPITAL OF WHITE COUNTY
- Practice address
- 3214 East Race Ave
Searcy, AR 72143 - Phone
- (501) 278-3155
- Fax
- (501) 278-3318
- NPI assigned
- Feb 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Loren J Miller
- Title
- Administrator
- Phone
- (501) 278-3156
Owners & managing parties with NPI records 10
Facilities with the same owner 7
Practitioners 1
-
Loren J Miller, LCSW
Affiliated clinicians 7
-
Matthew R Brown, M.D.
-
Robert R Camferdam, M.D.
-
Zachary Morrill, D.O.
-
Clay Lawrence Williams, M.D.
-
Ahmad Javed Yousaf, M.D.
Medicare Care Compare: Long-term care hospital
- Listed as
- Advanced Care Hospital White County
- Ownership
- Non-profit
- Certified
- Apr 1, 2008
- Medicare certification status
- Active
- Beds
- 27
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1068869 | Advanced Care Hospital of White County | Certificate of waiver | Sep 24, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Hospital certification: CCN 042011
- Legal name
- ADVANCED CARE HOSPITAL OF WHITE COUNTY
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Apr 1, 2008
- Last certification
- Jul 12, 2019
- Beds
- 27
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 16, 2007 in AR
- Enrollment address
- 3214 E Race Ave, Tower 3, 4TH
Floor
Searcy, AR 72143-4810 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 9
| Name | Role | Since | Share |
|---|---|---|---|
| Matthew Mandrell |
Corporate Director | Aug 2, 2022 | |
| Janet Hines |
Corporate Director | Apr 30, 2018 | |
| Phillip Miller |
Corporate Director | Aug 23, 1976 | |
| Loren J Miller |
W-2 Managing Employee | Oct 25, 2022 | |
| Kerri D Yarbrough |
W-2 Managing Employee |
Sep 15, 2022 | |
| Patrick Stegall |
Corporate Director | Jul 1, 2016 | |
| White County Medical Center |
5% Or Greater Direct Ownership Interest | Jul 1, 2007 | |
| Roddy Smart Lochala |
Corporate Director | Apr 30, 2021 | |
| Advanced Care Hospital of White County |
5% Or Greater Direct Ownership Interest | Jul 1, 2007 | |
| Operational/Managerial Control | Jul 1, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070411000276 | AR | Part a Provider - Hospital | 9133224629 | Practice locations: Searcy, AR |
National Provider Directory
Locations
3214 E Race Ave
Fl 4
Searcy, AR 72143
Phone (501) 278-3155
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | AR | Yes | |
| General Acute Care Hospital | 282N00000X | AR4452 | AR |
Addresses
Primary practice location
3214 East Race Ave
Searcy, AR 72143
Mailing address
3214 East Race Ave
Searcy, AR 72143
Phone (501) 278-3155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10149 | Other | AR | BCBS, TRUE BLUE PPO, FIRSTSOURCE PPO, HA HMO |
Other providers in Searcy, AR
- Access Medical Clinic Arkansas LLC
- Access Medical Clinic Arkansas LTC LLC
- Access Medical Sales & Service, LLC
- Trina T Acevedo
- Rebecca Anne Addington
- Advanced Counseling and Neurofeedback
- Advanced Prosthetic Services, Inc.
- Maya Advani
- Aeffect Solutions LLC
- Dana Ahmad
All providers in Searcy, AR · Long Term Care Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.