Organization Active NPI

Maumelle Health Services, LLC

Doing business as Maumelle Health & Rehab

  • Skilled Nursing Facility
  • Maumelle, AR
National Provider Identifier
1811214695
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MAUMELLE HEALTH SERVICES, LLC
Doing business as
Maumelle Health & Rehab
Practice address
103 Alexandria Dr
Maumelle, AR 72113-6571
Phone
(501) 734-1400
Fax
(501) 734-1411
NPI assigned
May 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Authorized official

Name
Joey Martin Wiggins
Title
Member
Phone
(501) 305-3153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X AR Primary

Addresses

Primary practice location

103 Alexandria Dr
Maumelle, AR 72113-6571

Mailing address

2908 Hawkins Dr
Slot 113
Searcy, AR 72143-4802
Phone (501) 305-3153

Other names 1

  • Maumelle Health & Rehab Doing business as

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
04D1061529Lakes at Maumelle Health & Rehab, the103 Alexandria Drive, Maumelle, AR 72113Certificate of waiverNov 19, 2026

National Provider Directory

National Provider Directory

Locations

2908 Hawkins Dr
#113
Searcy, AR 72143

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272844800000",
    "number": "1811214695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 HAWKINS DR",
            "address_2": "SLOT 113",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434802",
            "telephone_number": "501-305-3153",
            "fax_number": "501-279-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALEXANDRIA DR",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721136571",
            "telephone_number": "501-734-1400",
            "fax_number": "501-734-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMELLE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "501-305-3153"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maumelle Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumelle, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.