Organization 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
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
724 Issued in AR
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 MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
119732311MedicaidAR

Other names 1

  • Fianna Hills Nursing and Rehabilitation Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CenterCCN 045354 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jan 25, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10296.3 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
04D0966483Fianna Hills Nursing & Rehabilitation8411 South 28TH, Fort Smith, AR 72908Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

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
Kimberly R Schaap Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 25%
RHS Nursing, LLC Organization, Rogers, AR LLC 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
M&M Hathorn, LLC Organization, Rogers, AR LLC 5% Or Greater Indirect Ownership Interest Jan 1, 2013 50%
Karen D Mundy Individual W-2 Managing EmployeeAdministrator Jun 1, 2015 100%
Don Schaap Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 25%
Michael Hathorn Individual 5% Or Greater Indirect Ownership Interest Jan 1, 2013 50%
Schaap, LLC Organization, Rogers, AR 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

Verify at the official NPI Registry.