Hickory Heights Health and Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HICKORY HEIGHTS HEALTH AND REHAB, LLC

Practice address

3 Chenal Heights Dr
Little Rock, AR 72223-3910

Phone

(501) 830-2273

NPI assigned

Nov 4, 2013

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518396274. Details of each certification follow.

• CCN 045455 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045455

Legal name

HICKORY HEIGHTS HEALTH AND REHAB LLC

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Dec 20, 2013

Last certification

May 3, 2024

Beds

110

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

#3 Chenal Heights Drive
Little Rock, AR 72223-3910

Nursing home name

HICKORY HEIGHTS HEALTH AND REHAB, LLC

Affiliated entity

CENTRAL ARKANSAS NURSING CENTERS

Listed as

Hickory Heights Health And Rehab, LlcCCN 045455 · All quality measures

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

Dec 20, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

110105.0 residents per day on average

Chain

Central Arkansas Nursing Centers38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 8

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.

• Bushra Shah, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1417910670

  Adp of the SNF

  CMS ownership

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Peyton Davis Card

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1851787659

  Nursing home

  Care Compare affiliation
• Benny J Green, M.D.

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1609873983

  Nursing home

  Care Compare affiliation
• Bushra Shah, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Little Rock, AR
  • NPI 1417910670

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1518396274",
    "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": "3 CHENAL HEIGHTS DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722233910",
            "telephone_number": "501-830-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HEIGHTS HEALTH AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-04",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "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": "200342311",
            "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": []
}

• Elizabeth Nicole Hickey
• Lauren Hickey
• Savannah Hickman-Callaway
• Acie Guy Hickman Jr., D.C.
• Stephanie Michelle Hickmon, APRN
• Hicks Specialty Pharma
• Roshunda Hicks-Williams
• David Conrad Hicks, M.D.
• David L Hicks, M.D.
• Destiny Hicks

• Skilled Nursing Facility in Little Rock, AR
• Providers in Little Rock, 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 20, 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.