NPIMap

Organization Active NPI

Advanced Care Hospital of White County

  • Long Term Care Hospital
  • Searcy, AR
National Provider Identifier
1295862647
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 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
Last updated
Dec 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Authorized official

Name
Mr. Loren J MillerNPI 1457080574
Title
Administrator
Phone
(501) 278-3156

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X AR Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070411000276 AR Part A Provider - Hospital 9133224629 Practice locations: Searcy, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295862647. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 16, 2007 in AR
Enrollment address
3214 E Race Ave, Tower 3, 4TH
Floor
Searcy, AR 72143-4810
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Advanced Care Hospital White CountyCCN 042011 · All quality measures
Ownership
Non-profit
Certified
Apr 1, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Beds
27

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
04D1068869Advanced Care Hospital of White County3214 East Race Street, Searcy, AR 72143Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3214 E Race Ave
Fl 4
Searcy, AR 72143
Phone (501) 278-3155

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Matthew Mandrell Individual Corporate Director Aug 2, 2022
Janet Hines Individual Corporate Director Apr 30, 2018
Phillip Miller Individual Corporate Director Aug 23, 1976
Loren J Miller Individual W-2 Managing Employee Oct 25, 2022
Kerri D Yarbrough Individual W-2 Managing EmployeeExecutive Director of Clinical S Sep 15, 2022
Patrick Stegall Individual Corporate Director Jul 1, 2016
White County Medical Center Organization, Searcy, AR Corporation 5% Or Greater Direct Ownership Interest Jul 1, 2007
Roddy Smart Lochala Individual Corporate Director Apr 30, 2021
Advanced Care Hospital of White County Organization, Searcy, AR Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2007
Operational/Managerial Control Jul 1, 2007

Owners & managing parties with NPI records 10

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

Facilities with the same owner 7

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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.

Affiliated clinicians 7

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671062400000",
    "number": "1295862647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 EAST RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-278-3155",
            "fax_number": "501-278-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 EAST RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "72143",
            "telephone_number": "501-278-3155",
            "fax_number": "501-278-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED CARE HOSPITAL OF WHITE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "501-278-3156",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AR",
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AR",
            "license": "AR4452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.