NPIMap

Organization Active NPI

Mhcnc, Inc.

  • Skilled Nursing Facility
  • Mountain Home, AR
National Provider Identifier
1376969931
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1048 Issued in AR
Legal business name
MHCNC, INC.
Practice address
804 Burnett Dr
Mountain Home, AR 72653-2939
Phone
(870) 424-5030
Fax
(870) 424-5040
NPI assigned
Mar 6, 2014
Organization subpart
Yes
Parent organization
EAGLE HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1048 AR Primary

Addresses

Primary practice location

804 Burnett Dr
Mountain Home, AR 72653-2939

Mailing address

804 Burnett Dr
Mountain Home, AR 72653-2939
Phone (870) 424-5030

Other identifiers 1

IdentifierTypeStateIssuer
202088311MedicaidAR

Other names 1

  • CARE MANOR NURSING AND REHAB Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140730000471 AR Part A Provider - Skilled Nursing Facility 1456577337 Practice locations: Mountain Home, AR

Skilled nursing facility certification: CCN 045351

Legal name
MHCNC, INC.
Doing business as
CARE MANOR NURSING AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 25, 1999
Last certification
May 16, 2024
Beds
104
Ownership / control type
Corporation
Multi-facility organization
Reliance Healthcare
Organization structure
CorporationProprietary
Incorporated
Apr 1, 2014 in AR
Enrollment address
Care Manor Nursing and Rehab
804 Burnett Drive
Mountain Home, AR 72653-2939
Nursing home name
CARE MANOR NURSING AND REHAB
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Care Manor Nursing and RehabCCN 045351
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 25, 1999
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10467.5 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
John Scribner Individual Adp of the SNF Aug 14, 2024
Benjamin Cooper Individual Adp of the SNF Apr 1, 2014
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Apr 1, 2014 50%
Corporate OfficerVice President Apr 1, 2014
Eagle Health Systems Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2014 100%
James B Cooper Individual Adp of the SNF Apr 1, 2014
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Apr 1, 2014
Larry M McGinnis Individual Adp of the SNF Apr 1, 2014
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Apr 1, 2014
Health Care Solutions, LLC Organization, Melbourne, AR LLC, For-profit Adp of the SNF Jan 1, 2020
Randy Sutterfield Individual Operational/Managerial ControlAdministrator Nov 7, 2022 100%
Managing Control - Governing BodyGov Body Member/Administrator Nov 7, 2022
Adp of the SNF Nov 7, 2022
John Ellis Individual Corporate OfficerChief Operations Officer Apr 1, 2014
Adp of the SNF Apr 1, 2013
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Apr 1, 2014
Kathy Jo Speaks Individual Managing Control - Governing BodyGov Body Member/Clinical Consultant Apr 1, 2025
Adp of the SNF Apr 1, 2025
Robert Cooper Individual Adp of the SNF Apr 1, 2025
Tobey Koehler Individual Corporate OfficerChief Financial Officer Apr 1, 2013
Adp of the SNF Apr 1, 2013
Nora Dvorak Individual Corporate DirectorDirector of Facility Operations Apr 1, 2025
Managing Control - Governing BodyGov Body Member/Dir Fac Operations Apr 1, 2025
Adp of the SNF Apr 1, 2025
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Apr 1, 2014 50%
Corporate OfficerPresident Apr 1, 2014 50%

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 9

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1376969931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532939",
            "telephone_number": "870-424-5030",
            "fax_number": "870-424-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 BURNETT DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532939",
            "telephone_number": "870-424-5030",
            "fax_number": "870-424-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHCNC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTH SYSTEMS, INC.",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202088311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE MANOR NURSING AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.