Active NPI
B & H Operations LLC
Doing business as Countryside Health & Rehab of Newton County
- Skilled Nursing Facility
- Jasper, AR
National Provider Identifier
1649972498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- B & H OPERATIONS LLC
- Doing business as
- Countryside Health & Rehab of Newton County
- Practice address
- 610 East Court Street
Jasper, AR 72641 - Phone
- (870) 446-2333
- NPI assigned
- Mar 17, 2023
- Last updated
- Mar 17, 2023
- 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
- Michael Hathorn
- Title
- Co-Manager
- Phone
- (479) 636-5716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
610 East Court Street
Jasper, AR 72641
Mailing address
4900 Madison 2035
Huntsville, AR 72740-8786
Other names 1
- Countryside Health & Rehab of Newton County
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231017002983 | AR | Part A Provider - Skilled Nursing Facility | 5597110171 | Practice locations: Jasper, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1649972498. Details of each certification follow.
Skilled nursing facility certification: CCN 045475
- Legal name
- B & H OPERATIONS LLC
- Doing business as
- COUNTRYSIDE HEALTH & REHAB OF NEWTON COUNTY
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Nov 1, 2023
- Last certification
- Nov 15, 2024
- Beds
- 70
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Mar 22, 2023 in AR
- Enrollment address
- 610 East Court St
Jasper, AR 72641 - Nursing home name
- COUNTRYSIDE HEALTH & REHAB OF NEWTON COUNTY
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Countryside Health & Rehab of Newton County
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 1, 2023
- Medicare certification status
- Active
- Certified beds
- 70
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| John Box | 5% Or Greater Indirect Ownership Interest | Apr 21, 2023 | 25% |
| Tmack Nursing, LLC | 5% Or Greater Direct Ownership Interest | Apr 21, 2023 | 50% |
| Box Nursing, LLC | 5% Or Greater Direct Ownership Interest | Apr 21, 2023 | 50% |
| Amanda Hathorn | 5% Or Greater Indirect Ownership Interest | Apr 21, 2023 | 25% |
| Box Management Co, LLC | Operational/Managerial Control | Apr 21, 2023 | 100% |
| Tara Thompson Box | 5% Or Greater Indirect Ownership Interest | Apr 21, 2023 | 25% |
| Operational/Managerial Control | Apr 21, 2023 | 50% | |
| Michael Hathorn | 5% Or Greater Indirect Ownership Interest | Apr 21, 2023 | 25% |
| Operational/Managerial Control | Apr 21, 2023 | 50% |
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": "1679011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679011200000",
"number": "1649972498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MADISON 2035",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727408786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 EAST COURT STREET",
"city": "JASPER",
"state": "AR",
"postal_code": "72641",
"telephone_number": "870-446-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B & H OPERATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-17",
"last_updated": "2023-03-17",
"certification_date": "2023-03-15",
"status": "A",
"authorized_official_last_name": "HATHORN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CO-MANAGER",
"authorized_official_telephone_number": "479-636-5716"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Countryside Health & Rehab of Newton County",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jasper, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.