Organization Active NPI

Lonoke Healthcare & Rehab, LLC

Doing business as Red Oak Healthcare & Rehab

  • Skilled Nursing Facility
  • Lonoke, AR
National Provider Identifier
1477814333
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LONOKE HEALTHCARE & REHAB, LLC
Doing business as
Red Oak Healthcare & Rehab
Practice address
1010 Barnes St
Lonoke, AR 72086-2003
Phone
(501) 676-3103
NPI assigned
Jun 6, 2012
Last updated
Jun 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Mr. Charles Richard Jerman III
Title
Member
Phone
(731) 234-8120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1010 Barnes St
Lonoke, AR 72086-2003

Mailing address

1010 Barnes St
Lonoke, AR 72086-2003
Phone (501) 676-3103

Other names 1

  • Red Oak Healthcare & Rehab Doing business as

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
04D2119349Lonoke Healthcare Center and Rehab Facility1010 Barnes St, Lonoke, AR 72086Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1477814333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 BARNES ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862003",
            "telephone_number": "501-676-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BARNES ST",
            "city": "LONOKE",
            "state": "AR",
            "postal_code": "720862003",
            "telephone_number": "501-676-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONOKE HEALTHCARE & REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "JERMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "731-234-8120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Oak Healthcare & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lonoke, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.