White Hall Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1095 Issued in AR

Legal business name

WHITE HALL HOLDINGS LLC

Doing business as

White Hall Health and Rehab

Practice address

9209 Dollarway Rd
White Hall, AR 71602-2616

Phone

(870) 330-9878

Fax

(870) 247-0802

NPI assigned

Nov 23, 2015

Organization subpart

No

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

Authorized official

Name

Joseph Schwartz

Title

Manager

Phone

(201) 635-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• WHITE HALL HEALTH AND REHAB Doing business as

Locations

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454630400000",
    "number": "1447624895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9209 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022616",
            "telephone_number": "870-330-9878",
            "fax_number": "870-247-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9209 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716022616",
            "telephone_number": "870-330-9878",
            "fax_number": "870-247-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HALL HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-02-05",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211199311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITE HALL HEALTH AND REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• White Hall Health & Rehab, LLC
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• Autumn Lynn White, FNP-C
• Kellisha White, MHPP

• Skilled Nursing Facility in White Hall, AR
• Providers in White Hall, 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 Feb 5, 2016; 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.