NPIMap

Organization Active NPI

CRH of Bentonville LLC

Doing business as Mercy Rehabilitation Hospital Northwest Arkansas

  • Rehabilitation Hospital
  • Rogers, AR
National Provider Identifier
1417655762
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
CRH OF BENTONVILLE LLC
Doing business as
Mercy Rehabilitation Hospital Northwest Arkansas
Rogers Rehabilitation Hospital
Practice address
4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347
Phone
(615) 920-7000
NPI assigned
Feb 16, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Authorized official

Name
Wendy Yates
Title
Hospital Ceo
Phone
(479) 341-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X NU Primary

Addresses

Primary practice location

4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347

Mailing address

330 Seven Springs Way
Brentwood, TN 37027-5098
Phone (615) 920-7000

Other names 2

  • Mercy Rehabilitation Hospital Northwest Arkansas Doing business as
  • Rogers Rehabilitation Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230511003267 AR Part A Provider - Hospital 1850757105 Practice locations: Rogers, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417655762. Details of each certification follow.

Hospital certification: CCN 043036

Legal name
CRH OF BENTONVILLE LLC
Doing business as
MERCY REHABILITATION HOSPITAL NORTHWEST ARKANSAS
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Apr 11, 2020
Last certification
Mar 19, 2026
Beds
36
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2023 (1 total)
Organization structure
LLCProprietary
Incorporated
Dec 1, 2022 in DE
Enrollment address
4313 S Pleasant Crossing Blvd
Rogers, AR 72758-1347
Main/Primary Hospital Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Mercy Rehabilitation Hospital Northwest ArCCN 043036 · All quality measures
Ownership
For profit
Certified
Apr 11, 2020
Medicare certification status
ActiveFrom the Provider of Services file

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
04D2176074Mercy Rehabilitation Hospital Northwest Arkansas4313 Pleasant Crossing Blvd, Rogers, AR 72758Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Member of 2

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

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Donna Flannery Individual Corporate DirectorDirector, Chair Sep 28, 2023
Mercy Health Northwest Arkansas Communities Organization, Rogers, AR Non-profit 5% Or Greater Indirect Ownership Interest Sep 28, 2023 49.5%
Lifepoint Rehab Blocker LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
CHC Management Services LLC Organization, Brentwood, TN Management services company Operational/Managerial Control Sep 28, 2023
Lifepoint Rehab LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Jason Wildman Individual Corporate DirectorDirector, Vice-Chair Sep 28, 2023
Mercy Hospital Rogers Organization, Rogers, AR Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 28, 2023 49.5%
DSB Acquisition LLC Organization, New York, NY LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Wendy Yates Individual W-2 Managing EmployeeHospital Ceo, Administrator Mar 1, 2023
Lifepoint Health Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%
Deborah Manharth Individual Corporate DirectorDirector, Secretary Sep 28, 2023
Centerre Healthcare LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Mar 1, 2023 100%
Lifepoint Rehab Blocker Parent LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 1, 2023 100%

Owners & managing parties with NPI records 7

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

Facilities with the same owner 74

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

View all 74

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1417655762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SEVEN SPRINGS WAY",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275098",
            "telephone_number": "615-920-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 S PLEASANT CROSSING BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581347",
            "telephone_number": "615-920-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRH OF BENTONVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "HOSPITAL CEO",
        "authorized_official_telephone_number": "479-341-4003"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Rehabilitation Hospital Northwest Arkansas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rogers Rehabilitation Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.