Presbyterian Village Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

9010 Issued in AR

Legal business name

PRESBYTERIAN VILLAGE INC.

Practice address

500 Brookside Dr
Little Rock, AR 72205-1694

Phone

(501) 225-1615

Fax

(501) 225-0849

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dan Yancey, CEO

Title

Chief Executive Officer

Phone

(501) 225-1615

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457561656. Details of each certification follow.

• CCN 045436 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045436

Legal name

PRESBYTERIAN VILLAGE INC.

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Dec 9, 2010

Last certification

Apr 17, 2025

Beds

78 (70 certified)

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Dec 21, 1964 in AR

Enrollment address

500 North Brookside Drive
Little Rock, AR 72205-1694

Nursing home name

PRESBYTERIAN VILLAGE, INC

Listed as

Presbyterian Village, IncCCN 045436 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Dec 9, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

7059.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 19

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 2

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

• Mary Denise Compton, PHD

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1053490649

  Corporate Director

  CMS ownership
• Priya Mendiratta, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Little Rock, AR
  • NPI 1639279540

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sally Browder, PH.D.

  • Clinical Psychologist
  • Little Rock, AR
  • NPI 1316969702
  NPD (past)
• Lynn C Thomas, M.D.

  • Psychiatry Physician
  • Maumelle, AR
  • NPI 1497701692
  NPD (past)

Affiliated clinicians 2

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

• Paige Bethany Beck, M.D., PH.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1831349018

  Nursing home

  Care Compare affiliation
• Priya Mendiratta, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Little Rock, AR
  • NPI 1639279540

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1457561656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROOKSIDE DRIVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-225-1615",
            "fax_number": "501-225-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKSIDE DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051694",
            "telephone_number": "501-225-1615",
            "fax_number": "501-225-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN VILLAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "501-225-1615",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "AR",
            "license": "060",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "9010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kourtney Presepio
• Brooke Elizabeth Preslar, PA-C
• Sarah Pressler, MS, CCC-SLP
• Chelsea Elizabeth Presson, NP-C
• Prestige Spine West Little Rock LLC

• Skilled Nursing Facility in Little Rock, AR
• Providers in Little Rock, 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 Jul 17, 2013; 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.