Active NPI
Superior Health & Rehab LLC
- Skilled Nursing Facility
- Conway, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- SUPERIOR HEALTH & REHAB LLC
- Practice address
- 625 Tommy Lewis Dr
Conway, AR 72032-7006 - Phone
- (501) 585-6800
- NPI assigned
- Feb 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Dean, CPA
- Title
- Cfo
- Phone
- (479) 783-4672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
625 Tommy Lewis Dr
Conway, AR 72032-7006
Mailing address
415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234088311 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190325002376 | AR | Part A Provider - Skilled Nursing Facility | 4688914815 | Practice locations: Conway, AR |
Skilled nursing facility certification: CCN 045467
- Legal name
- SUPERIOR HEALTH & REHAB LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 11, 2019
- Last certification
- May 3, 2024
- Beds
- 118
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Jun 7, 2017 in AR
- Enrollment address
- 625 Tommy Lewis Dr
Conway, AR 72034-7006 - Nursing home name
- SUPERIOR HEALTH & REHAB, LLC
- Affiliated entity
- CENTRAL ARKANSAS NURSING CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Superior Health & Rehab, LLC
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jun 11, 2019
- Medicare certification status
- Active
- Certified beds
- 118
- Chain
- Central Arkansas Nursing Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2162666 | Superior Health & Rehab, LLC | Certificate of waiver | Feb 26, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| David L Norsworthy | 5% Or Greater Direct Ownership Interest | Jun 7, 2017 | 30% |
| Adp of the SNF | Aug 1, 2025 | ||
| Vickey Lynn Kirkemier | Operational/Managerial Control | Dec 10, 2024 | |
| Adp of the SNF | Oct 20, 2024 | ||
| Central Arkansas Nursing Centers Inc | Adp of the SNF | Jan 1, 2025 | |
| Nursing Consultants Inc | Adp of the SNF | Jan 1, 2025 | |
| Superior Manor LLC | Adp of the SNF | Dec 12, 2024 | |
| Brandon M. Thurow | Adp of the SNF | Dec 10, 2024 | |
| Michael S Morton | 5% Or Greater Direct Ownership Interest | Jun 7, 2017 | 70% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
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": "1550534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787270400000",
"number": "1508322249",
"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": "625 TOMMY LEWIS DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "720327006",
"telephone_number": "501-585-6800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUPERIOR HEALTH & REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-19",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "479-783-4672",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234088311",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.