Cave City Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

425 Issued in AR

Legal business name

CAVE CITY NURSING HOME, INC

Practice address

442 Taylor Cir
Cave City, AR 72521-9137

Phone

(870) 283-5313

Fax

(870) 283-5314

NPI assigned

Jun 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Annetta Maupin, LNHA

Title

Assistant Administrator

Phone

(870) 283-5313

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821037771. Details of each certification follow.

• CCN 045148 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045148

Legal name

CAVE CITY NURSING HOME, INC

Doing business as

CAVE CITY NURSING HOME

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Nov 1, 1989

Last certification

Apr 4, 2024

Beds

90

Ownership / control type

Nonprofit Corporation

Organization structure

CorporationNon-profit

Incorporated

Aug 4, 1986 in AR

Enrollment address

442 Taylor Circle
Cave City, AR 72521-9137

Nursing home name

CAVE CITY NURSING HOME INC

Listed as

Cave City Nursing Home IncCCN 045148 · All quality measures

Overall star rating

5 of 5

Health inspections

5 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

Non profit - Corporation

Certified

Nov 1, 1989

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9069.7 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

Locations

All disclosed owners & managing parties 16

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.

• Nathan W Turney, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346207115

  Adp of the SNF, Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Nathan W Turney, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
  • NPI 1346207115

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1821037771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "address_2": "442 TAYLOR CIRCLE",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725210060",
            "telephone_number": "870-283-5313",
            "fax_number": "870-283-5314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 TAYLOR CIR",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219137",
            "telephone_number": "870-283-5313",
            "fax_number": "870-283-5314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVE CITY NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "MAUPIN",
        "authorized_official_first_name": "ANNETTA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "870-283-5313",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109335311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Booth, OTR/L
• Brooklyn Brinkley
• Vashti Burns
• Scarlett A Callen, LMT
• Gracen Caraway
• Cave City Pharmacy, PLLC (Cave City Pharmacy)
• Cave City Pharmacy, PLLC (Cave City Pharmacy Long Term Care)
• Cave City School
• Amber Lea Clements-Fore, NP-C
• Ashley Crafton, LPC

• Skilled Nursing Facility in Cave City, AR
• Providers in Cave City, 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 May 5, 2022; 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.