Active NPI
KMJ Enterprises Fianna Hills LLC
Doing business as Fianna Hills Nursing and Rehabilitation Center
- Skilled Nursing Facility
- Fort Smith, AR
National Provider Identifier
1710974274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 724
- Legal business name
- KMJ ENTERPRISES FIANNA HILLS LLC
- Doing business as
- Fianna Hills Nursing and Rehabilitation Center
- Practice address
- 8411 S 28TH St
Fort Smith, AR 72908-8646 - Phone
- (479) 648-9600
- Fax
- (479) 648-9673
- NPI assigned
- Sep 30, 2005
- Organization subpart
- Yes
- Parent organization
- KMJ MANAGEMENT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Hathorn
- Title
- President/Ceo
- Phone
- (479) 636-5716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 724 | AR | Primary |
Addresses
Primary practice location
8411 S 28TH St
Fort Smith, AR 72908-8646
Mailing address
8411 S 28TH St
Fort Smith, AR 72908-8646
Phone (479) 648-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119732311 | Medicaid | AR |
Other names 1
- Fianna Hills Nursing and Rehabilitation Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030923000049 | AR | Part A Provider - Skilled Nursing Facility | 8820909831 | Practice locations: Fort Smith, AR |
Skilled nursing facility certification: CCN 045354
- Legal name
- KMJ ENTERPRISES FIANNA HILLS LLC
- Doing business as
- FIANNA HILLS NURSING & REHABILITATION CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 25, 2000
- Last certification
- Jun 5, 2025
- Beds
- 102
- Ownership / control type
- Limited Liability Corporation
- Most recent change of ownership
- Jan 1, 2003
- Organization structure
- LLC
- Incorporated
- Nov 30, 2002 in AR
- Enrollment address
- 8411 South 28TH St
Fort Smith, AR 72908-8646 - Nursing home name
- FIANNA HILLS NURSING AND REHABILITATION CENTER
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Fianna Hills Nursing and Rehabilitation Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jan 25, 2000
- Medicare certification status
- Active
- Certified beds
- 102
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0966483 | Fianna Hills Nursing & Rehabilitation | Certificate of waiver | Oct 17, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kimberly R Schaap | 5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 25% |
| RHS Nursing, LLC | 5% Or Greater Direct Ownership Interest | Jan 1, 2013 | 100% |
| M&M Hathorn, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
| Karen D Mundy | W-2 Managing Employee | Jun 1, 2015 | 100% |
| Don Schaap | 5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 25% |
| Michael Hathorn | 5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
| Schaap, LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2013 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1128038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1710974274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8411 S 28TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088646",
"telephone_number": "479-648-9600",
"fax_number": "479-648-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8411 S 28TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729088646",
"telephone_number": "479-648-9600",
"fax_number": "479-648-9673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KMJ ENTERPRISES FIANNA HILLS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KMJ MANAGEMENT",
"enumeration_date": "2005-09-30",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A",
"authorized_official_last_name": "HATHORN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "479-636-5716"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "119732311",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Fianna Hills Nursing and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.