KMJ Enterprises Homestead LLC
Organization Active NPI Skilled Nursing Facility · Stamps, AR
NPI 1669469854 · NPPES record last updated Jun 10, 2008
Key facts
- NPI
- 1669469854
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 715 (AR)
- Legal business name
- KMJ ENTERPRISES HOMESTEAD LLC
- Practice address
- 826 North St
Stamps, AR 71860-4522 - Phone
- (870) 533-4444
- Fax
- (870) 533-8841
- NPI assigned
- Oct 3, 2005
- Organization subpart
- Yes
- Parent organization (as reported)
- KMJ MANAGEMENT
Authorized official
- Name
- Patricia Miller
- Title
- President/Ceo
- Phone
- (479) 636-5716
National Provider Directory
Locations
826 North St
Stamps, AR 71860
Phone (870) 533-4444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 715 | AR | Yes |
Addresses
Primary practice location
826 North St
Stamps, AR 71860-4522
Mailing address
826 North St
Stamps, AR 71860-4522
Phone (870) 533-4444
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119723311 | Medicaid | AR |
Other names
- Homestead Manor Nursing Home
Other providers in Stamps, AR
- Harrison Family Medicine
- Dianne Renee Harrison
- Highlands of Stamps Holdings LLC
- Highlands of Stamps, LLC
- Homestead Nursing, LLC
- Lafayette County Dental Clinic, Inc.
- Sohn McLean
- Lauren Maloch Mitchell
- North Street Operating LLC
- Gary Lee Poole
All providers in Stamps, AR · Skilled Nursing Facility in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.