Conway Regional Rehabilitation Hospital LLC
Organization Active NPI Rehabilitation Hospital · Conway, AR
NPI 1720003643 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720003643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Hospital 283X00000X
- License
- 4261 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. Steve Rose
- Title
- Chief Financial Officer
- Phone
- (501) 450-2112
Member of 1
Facilities with the same owner 7
Practitioners 1
-
James Howard France Jr., M.D.
Affiliated clinicians 2
-
Roy Denton, M.D.
-
Glenn D McClendon, DPM
Medicare Care Compare: Inpatient rehabilitation facility
- Listed as
- Conway Regional Rehabilitation Hospital
- Ownership
- For profit
- Certified
- Dec 17, 2004
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1032601 | Conway Regional Rehabilitation Hospital | Certificate of waiver | Oct 25, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
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
- LLC · Proprietary
- Incorporated
- Apr 6, 2004 in AR
- Enrollment address
- 2210 Robinson Avenue
Conway, AR 72034-4943 - Hospital subgroups
- Rehabilitation
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Allison Bramlett |
W-2 Managing Employee |
Aug 18, 2025 | |
| Conway Regional Medical Center Inc |
5% Or Greater Direct Ownership Interest | Apr 6, 2004 | 69.6% |
| Alan Finley |
Corporate Director |
Jan 1, 2016 | |
| Matthew Troup |
Contracted Managing Employee | Oct 28, 2015 | |
| Corporate Officer |
Oct 28, 2015 | ||
| Corporate Director |
Oct 28, 2015 | ||
| Rehab Management Professionals, LLC |
Operational/Managerial Control | Jan 1, 2015 | |
| Amanda Irby |
Corporate Director |
Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041101000785 | AR | Part a Provider - Hospital | 3274595376 | Practice locations: Conway, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 4261 | AR | Yes |
Addresses
Primary practice location
2210 Robinson Ave
Conway, AR 72034-4943
Mailing address
2210 Robinson Ave
Conway, AR 72034-4943
Phone (501) 932-3500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71024973530 | Other | QUALCHOICE | |
| 10015 | Other | CIGNA HEALTHCARE OF AR | |
| 124633 | Other | UNITED HEALTHCARE | |
| 71024973533 | Other | QUALCHOICE | |
| 0607495 | Other | AETNA | |
| 13033 | Other | BLUE CROSS | |
| 107347 | Other | HEALTHLINK-HMO | |
| 1110762 | Other | UNITED HEALTHCARE | |
| 5000028 | Other | AARP HEALTHCARE-UHC |
Other providers in Conway, AR
- Conway Regional Medical Center, Inc.
- Conway Regional Medical Center, Inc.
- Conway Regional Medical Center, Inc.
- Conway Regional Medical Center, Inc.
- Conway Regional Medical Center,Inc,
- Conway Regional Surgery Center
- Conway Urology, PA
- Conway Vein and Vascular
- Conway Women'S Health Center, PA
- Conway Womens Health Center PA
All providers in Conway, AR · Rehabilitation Hospital in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.