Active NPI
Pleasant Manor Nursing & Rehab
- Skilled Nursing Facility
- Ashdown, AR
National Provider Identifier
1447530464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 951
- Legal business name
- PLEASANT MANOR NURSING & REHAB
- Practice address
- 950 Homestead Dr
Ashdown, AR 71822-4304 - Phone
- (870) 898-5001
- Fax
- (870) 898-3342
- NPI assigned
- Aug 22, 2011
- Last updated
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Pickett
- Title
- Owner
- Phone
- (870) 898-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 951 | AR | Primary |
Addresses
Primary practice location
950 Homestead Dr
Ashdown, AR 71822-4304
Mailing address
950 Homestead Dr
Ashdown, AR 71822-4304
Phone (870) 898-5001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 187736311 | Medicaid | AR | |
| 15227 | Other | AR | MEDIPAK |
Other names 1
- JLP Investments LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120711000459 | AR | Part A Provider - Skilled Nursing Facility | 1951566298 | Practice locations: Ashdown, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447530464. Details of each certification follow.
Skilled nursing facility certification: CCN 045227
- Legal name
- PLEASANT MANOR NURSING & REHAB
- Doing business as
- PLEASANT MANOR NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Dec 1, 1993
- Last certification
- Jul 18, 2024
- Beds
- 88
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 950 Homestead Dr
Ashdown, AR 71822-4304 - Nursing home name
- PLEASANT MANOR NURSING & REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Pleasant Manor Nursing & Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Dec 1, 1993
- Medicare certification status
- Active
- Certified beds
- 88
National Provider Directory
National Provider Directory- Tax ID family
- JLP Investments LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Pleasant Manor Nursing & Rehab
- Skilled Nursing Facility
- Ashdown, AR
- NPI 1962772806
-
- Skilled Nursing Facility
- Ashdown, AR
- NPI 1568469930
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| James Pickett | 5% Or Greater Direct Ownership Interest | Aug 1, 2011 | |
| Lori Hill | 5% Or Greater Direct Ownership Interest | Aug 1, 2011 | |
| W-2 Managing Employee | Aug 1, 2011 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1447530464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 HOMESTEAD DR",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "718224304",
"telephone_number": "870-898-5001",
"fax_number": "870-898-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 HOMESTEAD DR",
"city": "ASHDOWN",
"state": "AR",
"postal_code": "718224304",
"telephone_number": "870-898-5001",
"fax_number": "870-898-3342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT MANOR NURSING & REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-22",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "PICKETT",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-898-5001",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187736311",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIPAK",
"identifier": "15227",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JLP Investments LLC",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Ashdown, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.