NPIMap

Organization Active NPI

Saline Heart Rehab and Dietary Services LLC

  • Specialist
  • Benton, AR
National Provider Identifier
1578867412
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E0963 Issued in AR
Legal business name
SALINE HEART REHAB AND DIETARY SERVICES LLC
Practice address
1000 Highway 35 N
Suite 9
Benton, AR 72019-2351
Phone
(501) 315-4008
Fax
(501) 315-3411
NPI assigned
Jan 7, 2011
Last updated
May 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Dr. Allan B Hatch, M.D.NPI 1114919107
Title
Owner
Phone
(501) 315-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E0963 AR Primary

Addresses

Primary practice location

1000 Highway 35 N
Suite 9
Benton, AR 72019-2351

Mailing address

PO Box 2860
Benton, AR 72018-2860
Phone (501) 315-4008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110405000788 AR Part B Supplier - Clinic/Group Practice 6800070566 Receives reassigned benefits from 1 practitioner
Practice locations: Benton, AR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Saline Heart Rehab and Dietary Srvices2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1578867412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2860",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720182860",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 35 N",
            "address_2": "SUITE 9",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192351",
            "telephone_number": "501-315-4008",
            "fax_number": "501-315-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALINE HEART REHAB AND DIETARY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "HATCH",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-315-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "E0963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.