NPIMap

Organization Active NPI

Pleasant Valley Health and Rehab LLC

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1679291850
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PLEASANT VALLEY HEALTH AND REHAB LLC
Practice address
12111 Hinson Rd
Little Rock, AR 72212-3410
Phone
(501) 225-8888
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
John Ponthie
Title
Member
Phone
(318) 216-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

12111 Hinson Rd
Little Rock, AR 72212-3410

Mailing address

7607 Fern Ave Ste 202
Shreveport, LA 71105-5699

Other names 1

  • ENCORE HEALTHCARE AND REHAB OF WEST LITTLE ROCK Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221227002536 AR Part A Provider - Skilled Nursing Facility 8628445616 Practice locations: Little Rock, AR

Skilled nursing facility certification: CCN 045390

Legal name
PLEASANT VALLEY HEALTH AND REHAB, LLC
Doing business as
PLEASANT VALLEY REHABILITATION AND NURSING
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 29, 2003
Last certification
Apr 24, 2025
Beds
97
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Southern Administrative Services
Most recent change of ownership
Aug 15, 2022
Organization structure
LLCProprietary
Incorporated
Jun 14, 2022 in AR
Enrollment address
12111 Hinson Rd
Little Rock, AR 72212-3410
Nursing home name
PLEASANT VALLEY REHABILITATION AND NURSING
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pleasant Valley Rehabilitation and NursingCCN 045390
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Sep 29, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9777.4 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain

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
04D0960047Pleasant Valley Health and Rehab LLC12111 Hinson Road, Little Rock, AR 72212Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

7607 Fern Ave
Ste 202
Shreveport, LA 71105
Phone (318) 797-8875

Ownership & 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.

NameRoleSinceShare
Jej Assets LP Organization, Shreveport, LA Holding company 5% Or Greater Indirect Ownership Interest Jun 14, 2022 100%
Courtney Nichols Individual W-2 Managing EmployeeAdministrator Aug 15, 2022 100%
Alexark1 LLC Organization, Shreveport, LA LLC, For-profit Operational/Managerial Control Jun 14, 2022 100%
Jej Management, LLC Organization, Shreveport, LA LLC, For-profit Operational/Managerial Control Jun 14, 2022 100%
John F Ponthie Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2022 50%
Corporate OfficerAuthorized Signatory Aug 15, 2022 50%
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest Aug 15, 2022 50%
4P2T1 Ops Holding LP Organization, Houston, TX Holding company 5% Or Greater Direct Ownership Interest Jan 14, 2022 100%

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

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": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1679291850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 FERN AVE STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 HINSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722123410",
            "telephone_number": "501-225-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY HEALTH AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-216-3316"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENCORE HEALTHCARE AND REHAB OF WEST LITTLE ROCK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.