Organization Active NPI

CWNC Ops Inc

  • Skilled Nursing Facility
  • Springdale, AR
National Provider Identifier
1831746676
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CWNC OPS INC
Practice address
1393 E Don Tyson Pkwy
Springdale, AR 72764-7882
Phone
(479) 751-2390
Fax
(479) 751-3034
NPI assigned
Aug 26, 2019
Organization subpart
Yes
Parent organization
OVATION HEALTH SYSTEMS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Authorized official

Name
Mr. Anthony Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1393 E Don Tyson Pkwy
Springdale, AR 72764-7882

Mailing address

1393 E Don Tyson Pkwy
Springdale, AR 72764-7882
Phone (479) 751-2390

Other names 1

  • Edgewood Health and Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191009002501 AR Part A Provider - Skilled Nursing Facility 6800127630 Practice locations: Springdale, AR

Skilled nursing facility certification: CCN 045428

Legal name
CWNC OPS, INC.
Doing business as
EDGEWOOD HEALTH AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 19, 2008
Last certification
Nov 7, 2024
Beds
100
Ownership / control type
Corporation
Multi-facility organization
Ovatious Health Systems Inc
Most recent change of ownership
Oct 1, 2019
Organization structure
CorporationProprietary
Incorporated
Apr 9, 2018 in AR
Enrollment address
1393 E Don Tyson Pkway
Springdale, AR 72764-7882
Nursing home name
EDGEWOOD HEALTH AND REHAB
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Edgewood Health and RehabCCN 045428
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 19, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10078.0 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

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
04D1080673Edgewood Health and Rehab1393 Don Tyson Parkway, Springdale, AR 72764Certificate of waiverFeb 26, 2028

National Provider Directory

National Provider Directory

Locations

1393 E Don Tyson Pkwy
Springdale, AR 72764
Phone (479) 751-2390

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Apr 9, 2019 50%
Corporate OfficerVice-President Apr 9, 2019 50%
Adp of the SNF Oct 1, 2019
Nacole Jack Individual Managing Control - Governing BodyClinical Nurse Consultant/Gov Body Jan 1, 2021
Adp of the SNF Jan 1, 2021
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Oct 1, 2019
Larry M McGinnis Individual Adp of the SNF Oct 1, 2019
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Oct 1, 2019
SP East Re, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Oct 1, 2019
Ovation Health Systems, Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 9, 2019 100%
Centennial Bank Organization, Conway, AR Financial institution, Owned by another organization or individual 5% Or Greater Mortgage Interest Oct 1, 2019 65%
Adp of the SNF Oct 1, 2019
John Ellis Individual Corporate OfficerChief Operations Officer Jul 1, 2004
Adp of the SNF Oct 1, 2019
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Oct 1, 2019
3B Holdings, LLC Organization, Conway, AR LLC, Holding company, For-profit Adp of the SNF Oct 1, 2019
Tracie Jones Individual Operational/Managerial Control Oct 11, 2021
Managing Control - Governing BodyAdministrator/Gov Body Member Oct 11, 2021
Adp of the SNF Oct 11, 2021
Tobey Koehler Individual Corporate OfficerChief Financial Officer Jan 5, 2002
Adp of the SNF Oct 1, 2019
Kimberly D Burner Individual Adp of the SNF Aug 28, 2024
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Apr 9, 2019 50%
Corporate OfficerPresident Apr 9, 2019
Adp of the SNF Oct 1, 2019
Darryl Thomas Individual Corporate DirectorDirector of Facility Operations Oct 1, 2019
Managing Control - Governing BodyGov Body Member/Dir Fac Ops Oct 1, 2019
Adp of the SNF Oct 1, 2019
Home Bancshares Organization, Conway, AR Holding company, Financial institution, For-profit Adp of the SNF Oct 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

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

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": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566777600000",
    "number": "1831746676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 E DON TYSON PKWY",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647882",
            "telephone_number": "479-751-2390",
            "fax_number": "479-751-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1393 E DON TYSON PKWY",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727647882",
            "telephone_number": "479-751-2390",
            "fax_number": "479-751-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CWNC OPS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVATION HEALTH SYSTEMS, INC.",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Health and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.