NPIMap

Organization Active NPI

Conway Regional Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Conway, AR
National Provider Identifier
1720003643
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
4261 Issued in AR
Legal business name
CONWAY REGIONAL REHABILITATION HOSPITAL LLC
Practice address
2210 Robinson Ave
Conway, AR 72034-4943
Phone
(501) 932-3500
Fax
(501) 932-3520
NPI assigned
Jul 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Steve Rose
Title
Chief Financial Officer
Phone
(501) 450-2112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X 4261 AR Primary

Addresses

Primary practice location

2210 Robinson Ave
Conway, AR 72034-4943

Mailing address

2210 Robinson Ave
Conway, AR 72034-4943
Phone (501) 932-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041101000785 AR Part A Provider - Hospital 3274595376 Practice locations: Conway, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720003643. Details of each certification follow.

Hospital certification: CCN 043033

Legal name
CONWAY REGIONAL REHABILITATION HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Dec 17, 2004
Last certification
Jan 7, 2020
Beds
26
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Apr 6, 2004 in AR
Enrollment address
2210 Robinson Avenue
Conway, AR 72034-4943
Other Hospital Practice Location
Hospital subgroups
Rehabilitation

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Conway Regional Rehabilitation HospitalCCN 043033 · All quality measures
Ownership
For profit
Certified
Dec 17, 2004
Medicare certification status
ActiveFrom the Provider of Services file

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
04D1032601Conway Regional Rehabilitation Hospital2210 Robinson Avenue, Conway, AR 72034Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2210 Robinson Ave
Conway, AR 72034
Phone (501) 514-4907

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Allison Bramlett Individual W-2 Managing EmployeeAd; Aug 18, 2025
Conway Regional Medical Center Inc Organization, Conway, AR Non-profit 5% Or Greater Direct Ownership Interest Apr 6, 2004 69.6%
Alan Finley Individual Corporate DirectorCfo Jan 1, 2016
Matthew Troup Individual Contracted Managing Employee Oct 28, 2015
Corporate OfficerBoard Chair Oct 28, 2015
Corporate DirectorBoard Chair Oct 28, 2015
Rehab Management Professionals, LLC Organization, Conway, AR LLC Operational/Managerial Control Jan 1, 2015
Amanda Irby Individual Corporate DirectorBoard Member Jan 1, 2025

Facilities with the same owner 7

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720003643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344943",
            "telephone_number": "501-932-3500",
            "fax_number": "501-932-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344943",
            "telephone_number": "501-932-3500",
            "fax_number": "501-932-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONWAY REGIONAL REHABILITATION HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "501-450-2112",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "AR",
            "license": "4261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.