Split Rail Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SPLIT RAIL INC.

Doing business as

Split Rail Residential Care Facility

Practice address

1658 US Highway 371
Prescott, AR 71857-7064

Phone

(870) 887-2653

Fax

(870) 887-2018

NPI assigned

Mar 11, 2019

Last updated

Mar 11, 2019By 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

Courtney Mae Roach

Title

Administrator

Phone

(870) 887-2653

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Split Rail Residential Care Facility Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1316405194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718570027",
            "telephone_number": "870-887-2653",
            "fax_number": "870-887-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 US HIGHWAY 371",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718577064",
            "telephone_number": "870-887-2653",
            "fax_number": "870-887-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPLIT RAIL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-887-2653"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119086732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Split Rail Residential Care Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Ann Sorrells
• Marilyn Mary Sossamon, LPN
• South Arkansas Regional Health Center (South Arkansas Regional Health Center Prescott Clinic)
• Southern Pines Health Opco LLC (Southern Pines Health and Rehab)
• Southwest Arkansas Counseling and Mental Health Center, Inc
• Jeffrey Charles Spradlin, LPN
• Emily Srozinski, QBHP
• State of Arkansas (Nevada County Health Unit)
• Alena Steed
• Susan Stone

• Assisted Living Facility in Prescott, AR
• Providers in Prescott, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.