NPIMap

Organization Active NPI

Regency Hospital of Northwest Arkansas, LLC

Doing business as Regency Hospital of Springdale

  • Long Term Care Hospital
  • Springdale, AR
National Provider Identifier
1689676272
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
AR4182 Issued in AR
Legal business name
REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC
Doing business as
Regency Hospital of Springdale
Practice address
609 W Maple Ave
6TH Floor
Springdale, AR 72764-5335
Phone
(479) 757-2670
Fax
(479) 757-2677
NPI assigned
Aug 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X AR4182 AR Primary

Addresses

Primary practice location

609 W Maple Ave
6TH Floor
Springdale, AR 72764-5335

Mailing address

4714 Gettysburg Rd
Legal DPT
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 2

IdentifierTypeStateIssuer
165731105MedicaidAR
200407340AMedicaidOK

Other names 1

  • Regency Hospital of Springdale Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000663 AR Part A Provider - Hospital 0648183269 Practice locations: Springdale, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689676272. Details of each certification follow.

Hospital certification: CCN 042009

Legal name
REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC
Doing business as
REGENCY HOSPITAL OF SPRINGDALE
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Nov 25, 2003
Last certification
May 30, 2025
Beds
25
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Sep 8, 2003 in DE
Enrollment address
609 W Maple Ave
Springdale, AR 72764-5335
Main/Primary Hospital Location
Hospital subgroups
Long-term

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Regency Hospital of Northwest ArkansasCCN 042009 · All quality measures
Ownership
For profit
Certified
Nov 25, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Beds
25

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
04D1030845Regency Hospital of Northwest Arkansas, LLC609 West Maple 6TH Floor, Springdale, AR 72764AccreditationMar 22, 2028

National Provider Directory

National Provider Directory

Locations

609 W Maple Ave
Fl 6
Springdale, AR 72764
Phone (479) 757-2600

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
Operational/Managerial Control Sep 1, 2010 100%
Thomas Mullin Individual Corporate Officer Sep 3, 2025
Intensiva Healthcare Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
Regency Hospital Company, LLC Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2010 100%
John Saich Individual Corporate Officer Sep 3, 2025
Regency Hospitals LLC Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Jan 1, 2023 100%
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 3, 2025
Lisa Ellis -Muskrat Individual Corporate OfficerCeo Dec 10, 2018
W-2 Managing EmployeeCeo Dec 10, 2018
Operational/Managerial ControlCeo Dec 10, 2018
Michael Malatesta Individual Corporate Officer Sep 3, 2025
Robert Kido Individual Corporate Officer Sep 3, 2025
John Duggan Individual Corporate Officer Sep 1, 2010
Corporate Director Sep 3, 2025

Facilities with the same owner 129

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

View all 129

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1689676272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W MAPLE AVE",
            "address_2": "6TH FLOOR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645335",
            "telephone_number": "479-757-2670",
            "fax_number": "479-757-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENCY HOSPITAL OF NORTHWEST ARKANSAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "AR",
            "license": "AR4182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165731105",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200407340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regency Hospital of Springdale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.