NPIMap

Organization Active NPI

Northwest Health and Rehab, Inc.

Doing business as North Hills Life Care and Rehab

  • Skilled Nursing Facility
  • Fayetteville, AR
National Provider Identifier
1851387187
Registry record updated Nov 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
754 Issued in AR
Legal business name
NORTHWEST HEALTH AND REHAB, INC.
Doing business as
North Hills Life Care and Rehab
Practice address
27 E Appleby Rd
Fayetteville, AR 72703-3902
Phone
(479) 444-9000
Fax
(479) 444-9090
NPI assigned
Sep 22, 2005
Last updated
Nov 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2014

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

Authorized official

Name
A Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 754 AR Primary

Addresses

Primary practice location

27 E Appleby Rd
Fayetteville, AR 72703-3902

Mailing address

27 E Appleby Rd
Fayetteville, AR 72703-3902
Phone (479) 444-9000

Other identifiers 1

IdentifierTypeStateIssuer
154011311MedicaidAR

Other names 1

  • North Hills Life Care 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
O20040727001452 AR Part A Provider - Skilled Nursing Facility 8628048758 Practice locations: Fayetteville, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851387187. Details of each certification follow.

Skilled nursing facility certification: CCN 045398

Legal name
NORTHWEST HEALTH AND REHAB, INC.
Doing business as
NORTH HILLS LIFE CARE AND REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 22, 2004
Last certification
Aug 22, 2024
Beds
92
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2004 in AR
Enrollment address
27 E Appleby Rd
Fayetteville, AR 72703-3902
Nursing home name
NORTH HILLS LIFE CARE AND REHAB
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
North Hills Life Care and RehabCCN 045398 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 22, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9277.6 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
04D0908231North Hills Life Care & Rehab27 East Appleby Road, Fayetteville, AR 72703Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

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 Jun 2, 2004 50%
Corporate OfficerVice President Jun 2, 2004 50%
Adp of the SNF Jul 1, 2009
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2004
Larry M McGinnis Individual Adp of the SNF Sep 10, 2007
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Sep 10, 2007
Fayv Re, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2009
Tammy Angel Individual Managing Control - Governing BodyClinical Nurse Consultant/Gov Body Jan 1, 2017
Adp of the SNF Jan 1, 2017
Incite Rehab, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Aug 10, 2005
Mark E Miller Individual Operational/Managerial ControlMedical Director Aug 28, 2004
Adp of the SNF Aug 28, 2024
RHC Operations Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jul 1, 2004 100%
Rita Pedigo Individual Adp of the SNF Aug 10, 2005
Centennial Bank Organization, Conway, AR Corporation, Financial institution, For-profit Adp of the SNF Jul 1, 2009
William Mainord Individual Adp of the SNF Aug 10, 2005
Craig Talley Individual Operational/Managerial ControlAdministrator Jul 21, 2023 100%
Managing Control - Governing BodyFacility Administrator/Gov Body Mem Jul 21, 2023
Adp of the SNF Jul 21, 2023
John Ellis Individual Adp of the SNF Dec 20, 2007
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Dec 20, 2007
3B Holdings, LLC Organization, Conway, AR LLC, Holding company, For-profit Adp of the SNF May 21, 2009
Tobey Koehler Individual Corporate OfficerChief Financial Officer Dec 20, 2007
Adp of the SNF Dec 20, 2007
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership Interest Jun 2, 2004 50%
Corporate OfficerPresident Jun 2, 2004 50%
Adp of the SNF Jul 1, 2009
Darryl Thomas Individual Managing Control - Governing BodyDir of Facility Operations/Gov Body Jan 1, 2017
Adp of the SNF Jan 1, 2017
Home Bancshares Organization, Conway, AR Corporation, Financial institution, For-profit Adp of the SNF Jul 1, 2009

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 17

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

View all 17

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": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1851387187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033902",
            "telephone_number": "479-444-9000",
            "fax_number": "479-444-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 E APPLEBY RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033902",
            "telephone_number": "479-444-9000",
            "fax_number": "479-444-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HEALTH AND REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "A",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154011311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Hills Life Care and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.