Organization Active NPI

Pine Bluff Ar Opco LLC

  • Skilled Nursing Facility
  • Pine Bluff, AR
National Provider Identifier
1851093017
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PINE BLUFF AR OPCO LLC
Practice address
6301 S Hazel St
Pine Bluff, AR 71603-7818
Phone
(870) 534-8153
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Chaim Herzberg
Title
Ceo
Phone
(347) 752-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6301 S Hazel St
Pine Bluff, AR 71603-7818

Mailing address

150 Oberlin Ave N Ste 6
Lakewood, NJ 08701-4535
Phone (732) 800-6005

Other names 1

  • The Springs of Pine Bluff Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230614003811 AR Part A Provider - Skilled Nursing Facility 3577921055 Practice locations: Pine Bluff, AR

Skilled nursing facility certification: CCN 045277

Legal name
PINE BLUFF AR OPCO LLC
Doing business as
THE SPRINGS OF PINE BLUFF
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 1, 1995
Last certification
Mar 28, 2024
Beds
103
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
6301 S Hazel St
Pine Bluff, AR 71603-7818
Nursing home name
THE SPRINGS OF PINE BLUFF
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs of Pine BluffCCN 045277
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10387.6 residents per day on average
Chain
The Springs Arkansas26 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
04D0883412Springs of Pine Bluff, the6301 South Hazel, Pine Bluff, AR 71603Certificate of waiverMar 6, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Isaac Gutman Individual Adp of the SNF Mar 31, 2023
Direct Ownership Interest Mar 31, 2023 35%
Jacob Taub Individual Adp of the SNF Mar 31, 2023
Direct Ownership Interest Mar 31, 2023 35%
Suzann Wilson Individual Operational/Managerial Control Jan 27, 2025
Adp of the SNF Jan 27, 2025
Alexander Hoffman Individual Adp of the SNF Mar 31, 2023
Direct Ownership Interest Mar 31, 2023 10%
Red River Management LLC Organization, Lakewood, NJ LLC, Management services company Adp of the SNF Mar 31, 2023
Chaim Y Herzberg Individual Operational/Managerial Control Mar 31, 2023
Adp of the SNF Mar 31, 2023
Direct Ownership Interest Mar 31, 2023 20%
James S Cash Individual Operational/Managerial Control Mar 31, 2023
Adp of the SNF Mar 31, 2023
Pine Bluff Propco LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Mar 31, 2023

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1851093017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OBERLIN AVE N STE 6",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014535",
            "telephone_number": "732-800-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 S HAZEL ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037818",
            "telephone_number": "870-534-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE BLUFF AR OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "HERZBERG",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-752-0095"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Springs of Pine Bluff",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.