Pine Forest Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

795 Issued in AR

Legal business name

PINE FOREST HEALTHCARE, LLC

Practice address

1005 McLain St
Newport, AR 72112-3529

Phone

(870) 523-4333

Fax

(870) 523-4341

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rick D Sampson

Title

Agent

Phone

(870) 523-4333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801840228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 BAXTER ST",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717422641",
            "telephone_number": "870-352-2104",
            "fax_number": "870-352-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123529",
            "telephone_number": "870-523-4333",
            "fax_number": "870-523-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE FOREST HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "870-523-4333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Peel
• Terry Peevy, CMP
• Nia Pennington
• Olivia Grace Pepper, RN
• Pine Bluff Nursing Home
• Catherine Plunk
• Jacob Pollard, RECOVERY ASSISTANT
• Deanna L Prince, M.C.D., CCC-SLP
• Monica E Prince
• Amanda Kay Quick, PHARMD

• Skilled Nursing Facility in Newport, AR
• Providers in Newport, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.