Active NPI
Whispering Knoll
- Assisted Living Facility
- Pine Bluff, AR
National Provider Identifier
1659490746
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 017
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.