NPIMap

Organization Active NPI

West Memphis Wellness LLC

  • Skilled Nursing Facility
  • West Memphis, AR
National Provider Identifier
1366089427
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WEST MEMPHIS WELLNESS LLC
Practice address
800 W Broadway St
West Memphis, AR 72301-2912
Phone
(718) 838-1500
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

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

Authorized official

Name
Jacob Taub
Title
Member
Phone
(718) 838-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

800 W Broadway St
West Memphis, AR 72301-2912

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434
Phone (718) 838-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200121000751 AR Part A Provider - Skilled Nursing Facility 7517392558 Practice locations: West Memphis, AR

Skilled nursing facility certification: CCN 045195

Legal name
WEST MEMPHIS WELLNESS LLC
Doing business as
THE SPRINGS BROADWAY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 1, 1992
Last certification
Mar 27, 2025
Beds
119
Ownership / control type
Limited Liability Corporation
Multi-facility organization
The Springs of Arkansas
Most recent change of ownership
Sep 1, 2018
Organization structure
LLCProprietary
Incorporated
Nov 21, 2019 in AR
Enrollment address
800 W Broadway St
West Memphis, AR 72301-2912
Nursing home name
THE SPRINGS BROADWAY
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs BroadwayCCN 045195
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Apr 1, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11979.9 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
44D0687631West Memphis Wellness LLC800 West Broadway Street, West Memphis, AR 72301Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Solomon Kurz Individual Adp of the SNF Jan 1, 2020
April Anderson Individual Operational/Managerial Control Nov 27, 2023
Adp of the SNF Nov 27, 2023
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
White River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Dec 31, 2019
Adp of the SNF Oct 2, 2025
Roger L Troxel Individual Operational/Managerial Control Dec 31, 2019
Adp of the SNF Dec 31, 2019
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
Palm Tree HC Arkansas LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jan 1, 2020
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 28.33%
Adp of the SNF Jan 1, 2020
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership Interest Nov 20, 2019 15%
Helen Hoffman Individual Adp of the SNF Jan 1, 2020
Aj-Arp LLC Organization, Lakewood, NJ LLC Adp of the SNF Jan 1, 2020
West Memphis Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 31, 2019

Owners & managing parties with NPI records 1

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1366089427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434",
            "telephone_number": "718-838-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W BROADWAY ST",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723012912",
            "telephone_number": "718-838-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MEMPHIS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-838-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

Verify at the official NPI Registry.