Organization Active NPI

Hudson Memorial Nursing Home

  • Skilled Nursing Facility
  • El Dorado, AR
National Provider Identifier
1710971809
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HUDSON MEMORIAL NURSING HOME
Practice address
700 N College Ave
El Dorado, AR 71730-4404
Phone
(870) 863-8131
Fax
(870) 863-8661
NPI assigned
Sep 6, 2005
Last updated
Nov 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Mr. Bill Yutzy
Title
Administrator
Phone
(870) 863-8131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

700 N College Ave
El Dorado, AR 71730-4404

Mailing address

700 N College Ave
El Dorado, AR 71730-4404
Phone (870) 863-8131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000794 AR Part A Provider - Skilled Nursing Facility 3072605716 Practice locations: El Dorado, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710971809. Details of each certification follow.

Skilled nursing facility certification: CCN 045214

Legal name
HUDSON MEMORIAL NURSING HOME
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1993
Last certification
Dec 19, 2024
Beds
108
Ownership / control type
County
Organization structure
OtherNon-profit
Enrollment address
700 N College
El Dorado, AR 71730-4404
Nursing home name
HUDSON MEMORIAL NURSING HOME

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hudson Memorial Nursing HomeCCN 045214 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Sep 1, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10860.4 residents per day on average

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
04D0899258Hudson Memorial Nursing Home700 N College, El Dorado, AR 71730Certificate of waiverMar 23, 2027

National Provider Directory

National Provider Directory

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
Mike Loftin Individual Corporate Officer Jan 1, 2011
Gregory Smart Individual Corporate OfficerMedical Director Jan 1, 2025
Operational/Managerial Control Jan 1, 2025
Adp of the SNF May 28, 2025
Scott Fife Individual Corporate Officer Jan 1, 2010
Caroline Hammond Individual Corporate Officer Jan 19, 2017
Regina Lambert Individual Corporate Officer Jan 1, 2011
Linda Partridge Individual Corporate Officer Jan 1, 1991
Union County Organization, El Dorado, AR 5% Or Greater Direct Ownership Interest Jan 1, 1966
Operational/Managerial Control Jul 23, 2013
Scott Harper Individual Corporate Officer Dec 15, 2016
William Richard Hanry Individual Corporate Officer Jan 1, 2011
Carla Gibson Individual Corporate Officer Oct 29, 2015
Carolyn Merrit Individual Corporate OfficerAdministrator Oct 1, 2017
Adp of the SNF May 28, 2025

Owners & managing parties with NPI records 1

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

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": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1710971809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304404",
            "telephone_number": "870-863-8131",
            "fax_number": "870-863-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N COLLEGE AVE",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304404",
            "telephone_number": "870-863-8131",
            "fax_number": "870-863-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MEMORIAL NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "YUTZY",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-863-8131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

Verify at the official NPI Registry.