Active NPI
T-Lynn Inc.
- Skilled Nursing Facility
- Newport, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 620
- Legal business name
- T-LYNN INC.
- Practice address
- 1005 McLain St
Newport, AR 72112-3529 - Phone
- (870) 523-4333
- Fax
- (870) 523-4341
- NPI assigned
- May 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Rick D Sampson
- Title
- Agent
- Phone
- (870) 523-4333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 620 | AR | Primary |
Addresses
Primary practice location
1005 McLain St
Newport, AR 72112-3529
Mailing address
204 Catherine St
Harrisburg, AR 72432-1100
Phone (870) 578-2483
Other names 1
- Woodbriar Nursing Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030514000043 | AR | Part A Provider - Skilled Nursing Facility | 3274443817 | Practice locations: Harrisburg, AR |
Skilled nursing facility certification: CCN 045384
- Legal name
- T-LYNN INC.
- Doing business as
- WOODBRIAR NURSING HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jun 19, 2003
- Last certification
- Oct 10, 2024
- Beds
- 80
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Sep 1, 1998 in AR
- Enrollment address
- 204 Catherine
Harrisburg, AR 72432-1100 - Nursing home name
- WOODBRIAR NURSING HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Woodbriar Nursing Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 19, 2003
- Medicare certification status
- Active
- Certified beds
- 80
- Penalties (3 years)
- 4
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0876559 | Woodbriar Nursing Home | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rick D Sampson | 5% Or Greater Direct Ownership Interest | Sep 1, 1998 | 50% |
| Adp of the SNF | Jan 7, 2025 | ||
| Vonda Gail Houchin | Contracted Managing Employee | Sep 1, 1998 | |
| Adp of the SNF | Jan 7, 2025 | ||
| Care Management, Inc. | Operational/Managerial Control | Sep 1, 1998 | |
| Emily James | W-2 Managing Employee | Nov 18, 2009 | |
| Adp of the SNF | Jan 7, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Harrisburg, AR
- NPI 1467448837
Adp of the SNF, Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
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": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185148800000",
"number": "1619921061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 CATHERINE ST",
"city": "HARRISBURG",
"state": "AR",
"postal_code": "724321100",
"telephone_number": "870-578-2483",
"fax_number": "870-578-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 MCLAIN ST",
"city": "NEWPORT",
"state": "AR",
"postal_code": "721123529",
"telephone_number": "870-523-4333",
"fax_number": "870-523-4341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "T-LYNN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2007-07-23",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "AGENT",
"authorized_official_telephone_number": "870-523-4333",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodbriar Nursing Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newport, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.