NPIMap

Organization Active NPI

Windcrest Health and Rehab, Inc.

  • Skilled Nursing Facility
  • Springdale, AR
National Provider Identifier
1548256878
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
756 Issued in AR
Legal business name
WINDCREST HEALTH AND REHAB, INC.
Practice address
2455 N Lowell Rd
Springdale, AR 72764-1844
Phone
(479) 756-9000
Fax
(479) 751-1111
NPI assigned
Sep 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Authorized official

Name
A Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 756 AR Primary

Addresses

Primary practice location

2455 N Lowell Rd
Springdale, AR 72764-1844

Mailing address

2455 N Lowell Rd
Springdale, AR 72764-1844
Phone (479) 756-9000

Other identifiers 1

IdentifierTypeStateIssuer
154013311MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730001105 AR Part A Provider - Skilled Nursing Facility 8022088459 Practice locations: Springdale, AR

Skilled nursing facility certification: CCN 045367

Legal name
WINDCREST HEALTH AND REHAB, INC.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 15, 2001
Last certification
Oct 31, 2024
Beds
70
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Jul 1, 2004
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2004 in AR
Enrollment address
2455 Lowell Road
Springdale, AR 72764-1844
Nursing home name
WINDCREST HEALTH AND REHAB INC
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Windcrest Health and Rehab IncCCN 045367 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 15, 2001
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7053.0 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Jun 2, 2004 50%
Corporate OfficerVice-President Jun 2, 2004 50%
Adp of the SNF Jul 1, 2004
Nacole Jack Individual Managing Control - Governing BodyGov Body Member/Nurse Consultant Apr 1, 2025
Adp of the SNF Apr 1, 2025
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2004
Larry M McGinnis Individual Adp of the SNF Jul 1, 2004
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2004
Charles R Davis Individual Operational/Managerial ControlFacility Administrator Dec 20, 2021 100%
Managing Control - Governing BodyGov Body Member/Administrator Dec 20, 2021
Adp of the SNF Dec 20, 2021
SP North Re, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Jul 1, 2004
RHC Operations Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2008 100%
John Ellis Individual Corporate OfficerChief Operating Officer Jul 1, 2004
Adp of the SNF Jul 1, 2004
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Jul 1, 2004
3B Holdings, LLC Organization, Conway, AR LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2004 100%
Adp of the SNF Jul 1, 2004
Tobey Koehler Individual Corporate OfficerChief Financial Officer Jul 1, 2004
Adp of the SNF Jul 1, 2004
Kimberly D Burner Individual Adp of the SNF Aug 28, 2024
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Jun 2, 2004 50%
Corporate OfficerPresident Jun 2, 2004 50%
Adp of the SNF Jul 1, 2004
Darryl Thomas Individual Corporate DirectorDirector of Facility Operations Jan 1, 2010
Managing Control - Governing BodyGov Body Member/Dir Fac Ops Jan 1, 2010
Adp of the SNF Jan 1, 2010

Owners & managing parties with NPI records 1

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

Facilities with the same owner 19

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 19

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1548256878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 N LOWELL RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641844",
            "telephone_number": "479-756-9000",
            "fax_number": "479-751-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 N LOWELL RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727641844",
            "telephone_number": "479-756-9000",
            "fax_number": "479-751-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDCREST HEALTH AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154013311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.