Organization Active NPI

Whispering Knoll

  • Assisted Living Facility
  • Pine Bluff, AR
National Provider Identifier
1659490746
Registry record updated Aug 22, 2020
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • BRCH SA exclusion effective Mar 12, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
017 Issued in AR
Legal business name
WHISPERING KNOLL
Practice address
6812 S Hazel St
Pine Bluff, AR 71603-7828
Phone
(870) 534-1583
Fax
(870) 534-9741
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael Shepard
Title
Executive Director
Phone
(870) 541-0342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 017 AR Primary

Addresses

Primary practice location

6812 S Hazel St
Pine Bluff, AR 71603-7828

Mailing address

6812 S Hazel St
Pine Bluff, AR 71603-7828
Phone (870) 534-1583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

6812 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-1583

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659490746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037828",
            "telephone_number": "870-534-1583",
            "fax_number": "870-534-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037828",
            "telephone_number": "870-534-1583",
            "fax_number": "870-534-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING KNOLL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-541-0342",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.