Bradford House Nursing and Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BRADFORD HOUSE NURSING AND REHAB, LLC

Practice address

1202 SE 30TH St
Bentonville, AR 72712-3779

Phone

(479) 273-3430

Fax

(479) 273-3578

NPI assigned

Jan 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael S. Morton

Title

Member

Phone

(479) 783-4672

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Skilled nursing facility certification: CCN 045373

Legal name

BRADFORD HOUSE NURSING AND REHAB, LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 15, 2002

Last certification

May 30, 2025

Beds

98 (97 certified)

Ownership / control type

Limited Liability Corporation

Most recent change of ownership

Feb 1, 2011

Organization structure

LLCProprietary

Incorporated

Dec 29, 2010 in AR

Enrollment address

1202 SE 30TH St
Bentonville, AR 72712-3779

Nursing home name

BRADFORD HOUSE NURSING AND REHAB, LLC

Affiliated entity

CENTRAL ARKANSAS NURSING CENTERS

Listed as

Bradford House Nursing and Rehab, LLCCCN 045373

Overall star rating

3 of 5

Health inspections

3 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jul 15, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9778.4 residents per day on average

Chain

Central Arkansas Nursing Centers38 facilities in the chain

Penalties (3 years)

1Fines totaling $77,315

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 7

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 1

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

• Thanh Le

  • Family Medicine Physician
  • Alma, AR
  • NPI 1144664384

  Adp of the SNF

  CMS ownership

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1487958328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011903",
            "telephone_number": "479-783-4672",
            "fax_number": "479-783-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 SE 30TH ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123779",
            "telephone_number": "479-273-3430",
            "fax_number": "479-273-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD HOUSE NURSING AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-783-4672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185474311",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica Mary Boughfman, LPC
• Catherine Ann Bourgeois, DR
• Danielle Bowlby
• Amber Presley Boyd, LPC
• Ramon Boykins
• Bradford House, LLC
• Jillian Bradley
• Ryan Bradley, DMD
• Branch Therapy, PLLC
• Brandon Fitch, P.a.

• Skilled Nursing Facility in Bentonville, AR
• Providers in Bentonville, 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 Aug 19, 2026; 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.