Organization Active NPI

Highlands of Bentonville, LLC

  • Skilled Nursing Facility
  • Bentonville, AR
National Provider Identifier
1568852143
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLANDS OF BENTONVILLE, LLC
Doing business as
Highlands of Bentonville Therapy and Living Center
Practice address
224 S Main St
Bentonville, AR 72712-5963
Phone
(479) 273-3373
Fax
(479) 273-0623
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Blaine Brint
Title
Secretary
Phone
(205) 410-8371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

224 S Main St
Bentonville, AR 72712-5963

Mailing address

224 S Main St
Bentonville, AR 72712-5963
Phone (479) 273-3373

Other names 1

  • Highlands of Bentonville Therapy and Living Center Doing business as

National Provider Directory

National Provider Directory

Locations

224 S Main St
Bentonville, AR 72712
Phone (479) 273-3373

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1568852143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S MAIN ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125963",
            "telephone_number": "479-273-3373",
            "fax_number": "479-273-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S MAIN ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125963",
            "telephone_number": "479-273-3373",
            "fax_number": "479-273-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS OF BENTONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "BRINT",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "205-410-8371"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands of Bentonville Therapy and Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.