Active NPI
Prairie Operations, LLC
- Skilled Nursing Facility
- Des Arc, AR
National Provider Identifier
1306279708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- PRAIRIE OPERATIONS, LLC
- Practice address
- 2216 West Main Street
Des Arc, AR 72040-3100 - Phone
- (870) 256-4194
- NPI assigned
- Aug 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ross Ponthie
- Title
- Managing Member
- Phone
- (318) 443-8167
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
2216 West Main Street
Des Arc, AR 72040-3100
Mailing address
2216 West Main Street
Des Arc, AR 72040-3100
Phone (870) 256-4194
Other names 1
- Des Arc Nursing and Rehab Center
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0881306 | Des Arc Nursing and Rehab Ctr | Certificate of waiver | Jan 5, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415923200000",
"number": "1306279708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2216 WEST MAIN STREET",
"city": "DES ARC",
"state": "AR",
"postal_code": "720403100",
"telephone_number": "870-256-4194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2216 WEST MAIN STREET",
"city": "DES ARC",
"state": "AR",
"postal_code": "720403100",
"telephone_number": "870-256-4194"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRAIRIE OPERATIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-21",
"last_updated": "2014-11-14",
"status": "A",
"authorized_official_last_name": "PONTHIE",
"authorized_official_first_name": "ROSS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "318-443-8167",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Des Arc Nursing and Rehab Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Arc, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.