Waldron Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WALDRON HEALTHCARE LLC

Doing business as

The Springs of Waldron

Practice address

1369 W 6TH St
Waldron, AR 72958-7642

Phone

(479) 637-3171

Fax

(479) 637-1046

NPI assigned

Jul 29, 2024

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jacob Taub

Title

Coo

Phone

(718) 838-1500

Specialties & licenses 1

Addresses

Other names 1

• The Springs of Waldron Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699504795. Details of each certification follow.

• CCN 045383 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045383

Legal name

WALDRON HEALTHCARE LLC

Doing business as

THE SPRINGS OF WALDRON

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 30, 2003

Last certification

Aug 1, 2024

Beds

105

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1369 W 6TH St
Waldron, AR 72958-7642

Nursing home name

THE SPRINGS OF WALDRON

Affiliated entity

THE SPRINGS ARKANSAS

Listed as

The Springs of WaldronCCN 045383 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Apr 30, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10566.8 residents per day on average

Chain

The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 8

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jason D Richey, MD

  • Family Medicine Physician
  • Charleston, AR
  • NPI 1427070606

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Indian Rock Healthcare LLC

  dba The Springs of Fairfield Bay

  • Skilled Nursing Facility
  • Fairfield Bay, AR
  • NPI 1144072695

  Red River Management LLC

  CMS ownership
• Texarkana Ar Opco LLC

  dba The Springs of Texarkana

  • Skilled Nursing Facility
  • Texarkana, AR
  • NPI 1649972704

  Red River Management LLC

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jason D Richey, MD

  • Family Medicine Physician
  • Charleston, AR
  • NPI 1427070606

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1699504795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1369 W 6TH ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587642",
            "telephone_number": "479-637-3171",
            "fax_number": "479-637-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 W 6TH ST",
            "city": "WALDRON",
            "state": "AR",
            "postal_code": "729587642",
            "telephone_number": "479-637-3171",
            "fax_number": "479-637-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDRON HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-838-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs of Waldron",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Guidance Center - Waldron Clinic
• Transitions Mental Health Services
• Erica Truelove, LAC
• Morgan Wadkins
• Waldron Family Dentistry PLLC
• Waldron Nursing Center,Inc.
• Waldron Nursing Opco LLC (Waldron Nursing and Rehab)
• Waldron Public Schools
• Waldron SNF Operations LLC (Waldron Nursing and Rehab)
• Walgreen Co (Walgreens #15797)

• Skilled Nursing Facility in Waldron, AR
• Providers in Waldron, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.