Organization Active NPI

Prescott Ops, LLC

Doing business as Southern Pines Health and Rehab

  • Skilled Nursing Facility
  • Prescott, AR
National Provider Identifier
1508491465
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PRESCOTT OPS, LLC
Doing business as
Southern Pines Health and Rehab
Practice address
700 Manor Rd
Prescott, AR 71857-2800
Phone
(870) 455-1086
Fax
(870) 887-6690
NPI assigned
Mar 11, 2020
Last updated
Mar 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Anthony Brandon Adams
Title
Member
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

700 Manor Rd
Prescott, AR 71857-2800

Mailing address

700 Manor Rd
Prescott, AR 71857-2800
Phone (870) 455-1086

Other names 1

  • Southern Pines Health and Rehab Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1508491465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MANOR RD",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572800",
            "telephone_number": "870-455-1086",
            "fax_number": "870-887-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MANOR RD",
            "city": "PRESCOTT",
            "state": "AR",
            "postal_code": "718572800",
            "telephone_number": "870-455-1086",
            "fax_number": "870-887-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESCOTT OPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Pines Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.