Greene Acres Nursing Home Association,Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

070066-84-001 Issued in AR

Legal business name

GREENE ACRES NURSING HOME ASSOCIATION,INC.

Doing business as

Greene Acres Nursing Home

Practice address

2402 Country Club Rd
Paragould, AR 72450-1963

Phone

(870) 236-8771

Fax

(870) 239-8948

NPI assigned

Mar 5, 2007

Last updated

Jan 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlisa Thompson

Title

Administrator

Phone

(870) 236-8771

Specialties & licenses 1

Addresses

Other names 1

• Greene Acres Nursing Home Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1760511745. Details of each certification follow.

• CCN 045424 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045424

Legal name

GREENE ACRES NURSING HOME ASSOCIATION,INC.

Doing business as

GREENE ACRES NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Apr 1, 2008

Last certification

Jul 18, 2024

Beds

143

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Apr 25, 1964 in AR

Enrollment address

2402 Country Club Rd
Paragould, AR 72450-1963

Nursing home name

GREENE ACRES NURSING HOME

Listed as

Greene Acres Nursing HomeCCN 045424 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Apr 1, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

14394.2 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 15

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

Owners & managing parties with NPI records 1

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

• Clarence Leonard Kemp, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1700849684

  Corporate Officer

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dwight Marshall Williams, M.D.

  • Family Medicine Physician
  • Paragould, AR
  • NPI 1619930591

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1760511745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 COUNTRY CLUB RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724501963",
            "telephone_number": "870-236-8771",
            "fax_number": "870-239-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 COUNTRY CLUB RD",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724501963",
            "telephone_number": "870-236-8771",
            "fax_number": "870-239-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE ACRES NURSING HOME ASSOCIATION,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MARLISA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-236-8771"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "070066-84-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Acres Nursing Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Michele Gramling
• Angela K Gray
• Ashley N Gray, LCSW
• Nicoleta Grecea
• Damaris Joy Green
• Greene County Tech School District
• Greene County Tech School District
• Greene Emergency Group LLC
• Greene Operations LLC
• Greene Physician Services LLC

• Skilled Nursing Facility in Paragould, AR
• Providers in Paragould, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.

Verify at the official NPI Registry.