Organization Active NPI

Faulkner Operations, LLC

Doing business as Conway Healthcare and Rehab Center

  • Skilled Nursing Facility
  • Conway, AR
National Provider Identifier
1326471723
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FAULKNER OPERATIONS, LLC
Doing business as
Conway Healthcare and Rehab Center
Practice address
2603 Dave Ward Dr
Conway, AR 72032-6771
Phone
(501) 329-2149
NPI assigned
Aug 21, 2013
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2603 Dave Ward Dr
Conway, AR 72032-6771

Mailing address

2603 Dave Ward Dr
Conway, AR 72032-6771
Phone (501) 329-2149

Other names 1

  • Conway Healthcare and Rehab Center Doing business as

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
04D0893322Conway Healthcare and Rehab2603 Dave Ward Drive, Conway, AR 72032Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

NPI 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": "1326471723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DAVE WARD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720326771",
            "telephone_number": "501-329-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DAVE WARD DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720326771",
            "telephone_number": "501-329-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULKNER 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": "Conway Healthcare and Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway, 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.

Verify at the official NPI Registry.