NPIMap

Organization Active NPI

Three Rivers SNF Operations LLC

Doing business as Three Rivers Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Marked Tree, AR
National Provider Identifier
1811625338
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THREE RIVERS SNF OPERATIONS LLC
Doing business as
Three Rivers Health and Rehabilitation Center
Practice address
33904 Highway 63 E
Marked Tree, AR 72365-9521
Phone
(870) 358-2432
NPI assigned
Aug 11, 2022
Last updated
Aug 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
John Ponthie
Title
Member
Phone
(318) 216-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

33904 Highway 63 E
Marked Tree, AR 72365-9521

Mailing address

7607 Fern Ave Ste 202
Shreveport, LA 71105-5699

Other names 1

  • THREE RIVERS HEALTH AND REHABILITATION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230201000389 AR Part A Provider - Skilled Nursing Facility 1355712209 Practice locations: Marked Tree, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811625338. Details of each certification follow.

Skilled nursing facility certification: CCN 045391

Legal name
THREE RIVERS SNF OPERATIONS LLC
Doing business as
THREE RIVERS HEALTH AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 29, 2003
Last certification
Aug 29, 2024
Beds
112
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Southern Administrative Services
Organization structure
LLCProprietary
Incorporated
Jun 14, 2022 in AR
Enrollment address
33904 Highway 63 E
Marked Tree, AR 72365-9521
Nursing home name
THREE RIVERS HEALTH AND REHABILITATION CENTER
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Three Rivers Health and Rehabilitation CenterCCN 045391 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 29, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11283.1 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Jej Assets LP Organization, Shreveport, LA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Aug 15, 2022 100%
Alexark1 LLC Organization, Shreveport, LA LLC, For-profit Operational/Managerial Control Aug 15, 2022 100%
Robert Brazile Individual W-2 Managing EmployeeAdministrator Aug 15, 2022 100%
John F Ponthie Individual 5% Or Greater Indirect Ownership InterestAuthorized Signatory Jan 1, 2023 50%
General Partnership InterestAuthorized Signatory Jan 1, 2023 100%
OtherAuthorized Signatory Jan 1, 2023 50%
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest Jun 14, 2022 50%
4P2T1 Ops Holding LP Organization, Houston, TX Holding company, For-profit 5% Or Greater Direct Ownership Interest Aug 15, 2022 100%

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1811625338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 FERN AVE STE 202",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33904 HIGHWAY 63 E",
            "city": "MARKED TREE",
            "state": "AR",
            "postal_code": "723659521",
            "telephone_number": "870-358-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-216-3316"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE RIVERS HEALTH AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marked Tree, AR

Sources for this page

Verify at the official NPI Registry.