Active NPI
CWNC Ops Inc
- Skilled Nursing Facility
- Springdale, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jun 19, 2008
- Medicare certification status
- Active
- Certified beds
- 100
- Chain
- Anthony & Bryan Adams
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D1080673 | Edgewood Health and Rehab | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Bryan Milburn Adams | 5% Or Greater Indirect Ownership Interest | Apr 9, 2019 | 50% |
| Corporate Officer | Apr 9, 2019 | 50% | |
| Adp of the SNF | Oct 1, 2019 | ||
| Nacole Jack | Managing Control - Governing Body | Jan 1, 2021 | |
| Adp of the SNF | Jan 1, 2021 | ||
| LTC Systems/RX, LLC | Adp of the SNF | Oct 1, 2019 | |
| Larry M McGinnis | Adp of the SNF | Oct 1, 2019 | |
| Pharmacy Consults, LLC | Adp of the SNF | Oct 1, 2019 | |
| SP East Re, LLC | Adp of the SNF | Oct 1, 2019 | |
| Ovation Health Systems, Inc | 5% Or Greater Direct Ownership Interest | Apr 9, 2019 | 100% |
| Centennial Bank | 5% Or Greater Mortgage Interest | Oct 1, 2019 | 65% |
| Adp of the SNF | Oct 1, 2019 | ||
| John Ellis | Corporate Officer | Jul 1, 2004 | |
| Adp of the SNF | Oct 1, 2019 | ||
| Reliance Health Care, Inc. | Adp of the SNF | Oct 1, 2019 | |
| 3B Holdings, LLC | Adp of the SNF | Oct 1, 2019 | |
| Tracie Jones | Operational/Managerial Control | Oct 11, 2021 | |
| Managing Control - Governing Body | Oct 11, 2021 | ||
| Adp of the SNF | Oct 11, 2021 | ||
| Tobey Koehler | Corporate Officer | Jan 5, 2002 | |
| Adp of the SNF | Oct 1, 2019 | ||
| Kimberly D Burner | Adp of the SNF | Aug 28, 2024 | |
| Anthony Brandon Adams | 5% Or Greater Indirect Ownership Interest | Apr 9, 2019 | 50% |
| Corporate Officer | Apr 9, 2019 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Darryl Thomas | Corporate Director | Oct 1, 2019 | |
| Managing Control - Governing Body | Oct 1, 2019 | ||
| Adp of the SNF | Oct 1, 2019 | ||
| Home Bancshares | 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.
-
- Geriatric Medicine (Family Medicine) Physician
- Garfield, AR
- NPI 1487704524
Adp of the SNF
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Garfield, AR
- NPI 1487704524
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.