CHC Gosnell Health and Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

CHC GOSNELL HEALTH AND REHAB, LLC

Doing business as

Gosnell Health and Rehab

Practice address

700 Moody St
Gosnell, AR 72315-6110

Phone

(870) 532-5550

Fax

(870) 532-5600

NPI assigned

Sep 13, 2018

Last updated

Oct 4, 2024By 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

Boyd Wright

Title

Coo

Phone

(870) 347-0001

Specialties & licenses 1

Addresses

Other names 1

• Gosnell Health and Rehab Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386127488. Details of each certification follow.

• CCN 045439 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045439

Legal name

CHC GOSNELL HEALTH AND REHAB LLC

Doing business as

GOSNELL HEALTH AND REHAB

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 29, 2010

Last certification

Sep 19, 2024

Beds

70

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Incorporated

Aug 28, 2018 in AR

Enrollment address

700 Moody St
Gosnell, AR 72315-6110

Nursing home name

GOSNELL HEALTH AND REHAB

Listed as

Gosnell Health and RehabCCN 045439 · All quality measures

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Nov 29, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7058.6 residents per day on average

Penalties (3 years)

1Fines totaling $13,627

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 18

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

Owners & managing parties with NPI records 1

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

• Mark S Hahn, DO

  • Family Medicine Physician
  • Caraway, AR
  • NPI 1609895911

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

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

• CHC Heritage Square Nursing Center, LLC

  dba Heritage Square Healthcare Center

  • Skilled Nursing Facility
  • Blytheville, AR
  • NPI 1205319340

  Pharmacy Consults, LLC

  CMS ownership
• CHC Lakeside Nursing Center, LLC

  dba Lakeside Health and Rehab

  • Skilled Nursing Facility
  • Lake City, AR
  • NPI 1447733480

  Pharmacy Consults, LLC

  CMS ownership
• CHC Manila Nursing Center, LLC

  dba Manila Healthcare Center

  • Skilled Nursing Facility
  • Manila, AR
  • NPI 1053894097

  Care Systems, LLC, Pharmacy Consults, LLC

  CMS ownership
• Trumman Ops, Inc.

  dba Quail Run Health and Rehab

  • Skilled Nursing Facility
  • Trumann, AR
  • NPI 1104469527

  Pharmacy Consults, LLC

  CMS ownership
• WRNC Inc

  dba Chapel Woods Health and Rehabilitation

  • Skilled Nursing Facility
  • Warren, AR
  • NPI 1477897130

  Pharmacy Consults, LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mark S Hahn, DO

  • Family Medicine Physician
  • Caraway, AR
  • NPI 1609895911

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1386127488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 HIGHWAY 64 E STE D",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720065158",
            "telephone_number": "870-347-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MOODY ST",
            "city": "GOSNELL",
            "state": "AR",
            "postal_code": "723156110",
            "telephone_number": "870-532-5550",
            "fax_number": "870-532-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHC GOSNELL HEALTH AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "BOYD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "870-347-0001"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Gosnell Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angels Personal Care
• Arkansas Cognitive Care LLC
• Natalie Crockett
• GNNC, Inc (Gosnell Therapy and Living)
• Gosnell Drugs Inc.
• Gosnell Healthcare,Inc.
• Gosnell School District

• Skilled Nursing Facility in Gosnell, AR
• Providers in Gosnell, 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 Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.