Saline Hospital LLC
Organization Active NPI Home Health Agency · Bryant, AR
NPI 1801970710 · NPPES record last updated Jul 29, 2019
Key facts
- NPI
- 1801970710
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- AR5221 (AR)
- Legal business name
- SALINE HOSPITAL LLC
- Practice address
- 23157 Interstate 30 S
Bryant, AR 72022-9905 - Phone
- (501) 315-0136
- Fax
- (501) 776-6677
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathy J. Teague
- Title
- Secretary
- Phone
- (615) 920-7000
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2020 | Change of Ownership |
Saline Memorial Home Health |
National Provider Directory
Locations
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR5221 | AR | Yes |
Addresses
Primary practice location
23157 Interstate 30 S
Bryant, AR 72022-9905
Mailing address
1 Medical Park Dr
Benton, AR 72015-3353
Phone (501) 776-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 216969 | Medicaid | AR |
Other names
- Home Health and Hospice Services of Saline Memorial Hospital
Other providers in Bryant, AR
- Rebecca Danielle Russell
- Catherine Hope Salazar
- Salco NC Inc
- Saline Dental Group
- Saline Hospital LLC
- Saline Physician Services, LLC
- Saline Physician Services, LLC
- Sam Wright Family Dentistry Inc.
- Raven Lajoy Sanders
- Tucker Sanders
All providers in Bryant, AR · Home Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2019. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.