Polk Operations, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

POLK OPERATIONS, LLC

Doing business as

Rich Mountain Nursing and Rehab Center

Practice address

306 Hornbeck Ave
Mena, AR 71953-4338

Phone

(479) 394-3511

NPI assigned

Aug 21, 2013

Last updated

Nov 14, 2014By 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

Mr. Ross Ponthie

Title

Managing Member

Phone

(318) 443-8167

Specialties & licenses 1

Addresses

Other names 1

• Rich Mountain Nursing and Rehab Center Doing business as

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": "1306279716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HORNBECK AVE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534338",
            "telephone_number": "479-394-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HORNBECK AVE",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719534338",
            "telephone_number": "479-394-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK 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": "Rich Mountain Nursing and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Marie Perez, APRN
• Karen Ann Perry
• Amy Lanelle Phelps, APRN
• Lana Kay Philpot, PTA
• Polk County Developmental Center, Inc.
• Presidential Emergency Physicians, LLC
• Edward Carroll Puckett, PT
• Kervin T Putman, DC
• Ginny Reding, LAC, LAMFT
• Regina Rowland Speech Therapy Services, Inc

• Skilled Nursing Facility in Mena, AR
• Providers in Mena, AR by specialty
• Skilled Nursing Facility in Arkansas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.