Regional Care of Jacksonville, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

700 Issued in AR

Legal business name

REGIONAL CARE OF JACKSONVILLE, LLC

Doing business as

Woodland Hills Healthcare and Rehabilitation of Jacksonville

Practice address

1320 Braden St
Jacksonville, AR 72076-3719

Phone

(501) 241-2191

Fax

(501) 241-2197

NPI assigned

Jul 10, 2006

Last updated

Nov 7, 2014By 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

Mr. Allen Kilgore

Title

Manager

Phone

(479) 464-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodland Hills Healthcare and Rehabilitation of Jacksonville Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Christian Health Care Hospice, Inc.

  dba Regional Hospice

  • Community Based Hospice Care Agency
  • Springfield, MO
  • NPI 1417068461

  Member Of

  NPD member

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1386678696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S 1ST ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727564504",
            "telephone_number": "479-464-0200",
            "fax_number": "479-464-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 BRADEN ST",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720763719",
            "telephone_number": "501-241-2191",
            "fax_number": "501-241-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL CARE OF JACKSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "479-464-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119706311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodland Hills Healthcare and Rehabilitation of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Reed, M.S. CF-SLP
• Lisa A Reed, MSW/LMSW
• McKenzie Brooke Reed
• Ny'Toria Reed
• Whitney Reed, APRN
• Breanna Renner, QBHP
• Rex Edward Luttrell MD PA
• Elizabeth Nicole Reynolds
• Kadijah Bernice Richardson
• Lindsay Palmer Richardson, PHARMD

• Skilled Nursing Facility in Jacksonville, AR
• Providers in Jacksonville, 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 Nov 7, 2014; 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.