Organization Active NPI

Texarkana Ar Opco LLC

Doing business as The Springs of Texarkana

  • Skilled Nursing Facility
  • Texarkana, AR
National Provider Identifier
1649972704
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TEXARKANA AR OPCO LLC
Doing business as
The Springs of Texarkana
Practice address
2107 Dudley St
Texarkana, AR 71854-6345
Phone
(870) 772-4426
NPI assigned
Mar 21, 2023
Last updated
Mar 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Chaim Hertzberg
Title
Ceo
Phone
(347) 752-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2107 Dudley St
Texarkana, AR 71854-6345

Mailing address

150 Oberlin Ave N Ste 6
Lakewood, NJ 08701-4535
Phone (732) 800-6005

Other names 1

  • The Springs of Texarkana Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230614001830 AR Part A Provider - Skilled Nursing Facility 2860850419 Practice locations: Texarkana, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649972704. Details of each certification follow.

Skilled nursing facility certification: CCN 045211

Legal name
TEXARKANA AR OPCO LLC
Doing business as
THE SPRINGS OF TEXARKANA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 17, 1993
Last certification
Oct 10, 2024
Beds
173
Ownership / control type
Individual
Organization structure
LLCProprietary
Incorporated
Mar 8, 2023 in AR
Enrollment address
2107 Dudley St
Texarkana, AR 71854-6345
Nursing home name
THE SPRINGS OF TEXARKANA
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs of TexarkanaCCN 045211 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Individual
Certified
May 17, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
17391.4 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain
Penalties (3 years)
1Fines totaling $14,665

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D0670743Springs of Texarkana, the2107 Dudley, Texarkana, AR 71854Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Thomas Johnson Individual Operational/Managerial Control Mar 31, 2023
Adp of the SNF Mar 14, 2025
Isaac Gutman Individual 5% Or Greater Direct Ownership InterestOwner Mar 31, 2023 35%
Adp of the SNF Dec 13, 2024
Clay Walt Ferguson Individual Adp of the SNF Dec 30, 2024
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Mar 31, 2023 35%
Adp of the SNF Dec 13, 2024
Alexander Hoffman Individual 5% Or Greater Direct Ownership InterestOwner Mar 31, 2023 10%
Adp of the SNF Dec 13, 2024
Texarkana Propco LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Dec 30, 2024
Red River Management LLC Organization, Lakewood, NJ LLC Operational/Managerial Control Dec 30, 2024
Adp of the SNF Dec 30, 2024
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership InterestCeo Mar 31, 2023 20%
Operational/Managerial Control Dec 13, 2024
Adp of the SNF Dec 13, 2024

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 2

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1649972704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OBERLIN AVE N STE 6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014535",
            "telephone_number": "732-800-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 DUDLEY ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718546345",
            "telephone_number": "870-772-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA AR OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HERTZBERG",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-752-0095"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs of Texarkana",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.