NPIMap

Organization Active NPI

LTC of Rogers, LLC

Doing business as Ashley Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Rogers, AR
National Provider Identifier
1467934364
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LTC OF ROGERS, LLC
Doing business as
Ashley Rehabilitation and Health Care Center
Practice address
2600 N 22ND St
Rogers, AR 72756-2200
Phone
(479) 899-6778
NPI assigned
Sep 6, 2018
Last updated
Oct 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Authorized official

Name
Carla Hedrick, CFO
Title
Cfo
Phone
(573) 481-9625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2600 N 22ND St
Rogers, AR 72756-2200

Mailing address

2600 N 22ND St
Rogers, AR 72756-2200
Phone (479) 899-6778

Other names 1

  • Ashley Rehabilitation and Health Care Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 199.119.81.30:8291 Other eSolutions Inc

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181031000636 AR Part A Provider - Skilled Nursing Facility 5698028199 Practice locations: Rogers, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467934364. Details of each certification follow.

Skilled nursing facility certification: CCN 045421

Legal name
LTC OF ROGERS, LLC
Doing business as
ASHLEY REHABILITATION AND HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 27, 2007
Last certification
Nov 1, 2024
Beds
100
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jul 1, 2018 in MO
Enrollment address
2600 N 22ND St
Rogers, AR 72756-2200
Nursing home name
ASHLEY REHABILITATION AND HEALTH CARE CENTER
Affiliated entity
JAMES & JUDY LINCOLN

Care Compare: Nursing home

Medicare Care Compare
Listed as
Ashley Rehabilitation and Health Care CenterCCN 045421 · All quality measures
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 27, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10052.9 residents per day on average
Chain
James & Judy Lincoln56 facilities in the chain
Special focus status
SFF
Penalties (3 years)
1Fines totaling $65,473

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Timothy O Drake Individual Contracted Managing EmployeeManager of a Manager Managed LLC Mar 22, 2022 100%
Corporate OfficerPresident Mar 28, 2022 100%
LTC Management Services LLC Organization, Sikeston, MO Management services company Operational/Managerial Control Jul 1, 2018 100%
James C Lincoln Individual 5% Or Greater Direct Ownership Interest Jul 1, 2018 50%
Judy L Lincoln Individual 5% Or Greater Direct Ownership Interest Jul 1, 2018 50%

Facilities with the same owner 36

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

View all 36

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761177600000",
    "number": "1467934364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N 22ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562200",
            "telephone_number": "479-899-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N 22ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562200",
            "telephone_number": "479-899-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTC OF ROGERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A",
        "authorized_official_last_name": "HEDRICK",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "573-481-9625",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "199.119.81.30:8291",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8215 w 108th ter",
            "city": "overland park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ashley Rehabilitation and Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.