Afnc, Inc.
Organization Active NPI Skilled Nursing Facility · Ash Flat, AR
NPI 1487070058 · NPPES record last updated Nov 10, 2014
Key facts
- NPI
- 1487070058
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 1044 (AR)
- Legal business name
- AFNC, INC.
- Practice address
- 916 Highway 62 412
Ash Flat, AR 72513-9586 - Phone
- (870) 994-3040
- Fax
- (870) 994-3041
- NPI assigned
- Mar 6, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- EAGLE HEALTH SYSTEMS, INC.
Authorized official
- Name
- Brandon Adams
- Title
- President
- Phone
- (501) 932-0050
Owners & managing parties with NPI records 1
-
Nathan W Turney, M.D.
Facilities with the same owner 9
Affiliated clinicians 3
-
George Woody Jackson, M.D.
-
Tommy G Taylor, M.D.
-
Nathan W Turney, M.D.
Medicare Care Compare: Nursing home
- Listed as
- Eaglecrest Nursing and Rehab
- Overall star rating
- ★★★★★ 5 of 5
- Health inspections
- ★★★★★ 5 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Individual
- Certified
- Sep 8, 1999
- Medicare certification status
- Active
- Certified beds
- 100 · 69.0 residents per day on average
- Chain
- Anthony & Bryan Adams
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Skilled nursing facility certification: CCN 045352
- Legal name
- AFNC, INC.
- Doing business as
- EAGLECREST NURSING AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 8, 1999
- Last certification
- Nov 14, 2024
- Beds
- 100
- Ownership / control type
- Individual
- Multi-facility organization
- Reliance Healthcare
- Most recent change of ownership
- Apr 1, 2014
- Organization structure
- Corporation · Proprietary
- Incorporated
- Dec 3, 2013 in AR
- Enrollment address
- 916 Highway 62/412
Ash Flat, AR 72513-9586 - Nursing home name
- EAGLECREST NURSING AND REHAB
- Affiliated entity
- ANTHONY & BRYAN ADAMS
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin Cooper |
Adp of the SNF | Apr 1, 2014 | |
| Bryan Milburn Adams |
5% Or Greater Indirect Ownership Interest |
Apr 1, 2014 | 50% |
| Corporate Officer |
Apr 1, 2014 | ||
| Robin L Merkel |
Managing Control - Governing Body |
Apr 1, 2014 | |
| Adp of the SNF | Apr 1, 2014 | ||
| Eagle Health Systems Inc |
5% Or Greater Direct Ownership Interest | Dec 3, 2013 | 100% |
| Direct Ownership Interest | Dec 3, 2012 | 100% | |
| James B Cooper |
Adp of the SNF | Apr 1, 2014 | |
| Nathan W Turney |
Adp of the SNF | Aug 14, 2024 | |
| LTC Systems/RX, LLC |
Adp of the SNF | Apr 1, 2014 | |
| Larry M McGinnis |
Adp of the SNF | Apr 1, 2014 | |
| Pharmacy Consults, LLC |
Adp of the SNF | Apr 1, 2014 | |
| Incite Rehab, LLC |
Adp of the SNF | Apr 1, 2014 | |
| Health Care Solutions, LLC |
Adp of the SNF | Apr 1, 2014 | |
| Rita Pedigo |
Corporate Officer |
Aug 10, 2005 | |
| Adp of the SNF | Apr 1, 2014 | ||
| William Mainord |
Adp of the SNF | Apr 1, 2014 | |
| John Ellis |
Corporate Officer |
Apr 1, 2014 | |
| Adp of the SNF | Apr 1, 2014 | ||
| Reliance Health Care, Inc. |
Adp of the SNF | Apr 1, 2014 | |
| Robert Cooper |
Adp of the SNF | Apr 1, 2014 | |
| Tobey Koehler |
Corporate Officer |
Apr 1, 2014 | |
| Adp of the SNF | Apr 1, 2014 | ||
| Nora Dvorak |
Corporate Director |
Jan 1, 2017 | |
| Managing Control - Governing Body |
Jan 1, 2017 | ||
| Adp of the SNF | Jan 1, 2017 | ||
| Anthony Brandon Adams |
5% Or Greater Indirect Ownership Interest |
Apr 1, 2014 | 50% |
| Corporate Officer |
Apr 1, 2014 | ||
| Maggie Cannon |
Operational/Managerial Control |
Jul 21, 2023 | 100% |
| Managing Control - Governing Body |
Jul 21, 2023 | ||
| Adp of the SNF | Jul 21, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140701000994 | AR | Part a Provider - Skilled Nursing Facility | 9537384896 | Practice locations: Ash Flat, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1044 | AR | Yes |
Addresses
Primary practice location
916 Highway 62 412
Ash Flat, AR 72513-9586
Mailing address
916 Highway 62 412
Ash Flat, AR 72513-9586
Phone (870) 994-3040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202090311 | Medicaid | AR |
Other names
- EAGLECREST NURSING AND REHAB
Other providers in Ash Flat, AR
- Kayleigh Adams
- Advanced Therapy Connection, LLC
- Penny L Allen
- Jamila D Amer
- Ash Flat Pharmacy, Inc.
- Ash Flat Pharmacy, Inc.
- Kristin Baird
All providers in Ash Flat, AR · Skilled Nursing Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.