NPIMap

Organization Active NPI

Jenkins Housing Inc

Doing business as Chapel Pines North Or South

  • Intellectual Disabilities Intermediate Care Facility
  • Pine Bluff, AR
National Provider Identifier
1851428189
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
JENKINS HOUSING INC
Doing business as
Chapel Pines North Or South
Practice address
3401 Chapel Pines Drive South
Pine Bluff, AR 71603
Phone
(870) 879-0311
Fax
(870) 879-0194
NPI assigned
Feb 27, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Zelda Hoaglan
Title
Executive Director
Phone
(870) 534-2035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X NU Primary

Addresses

Primary practice location

3401 Chapel Pines Drive South
Pine Bluff, AR 71603

Mailing address

2410 Rike Dr
Pine Bluff, AR 71603-3935
Phone (870) 534-2035

Other names 1

  • CHAPEL PINES NORTH OR SOUTH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851428189. Details of each certification follow.

  • CCN 04G034 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 04G034

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHAPEL PINES NORTH
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Nov 8, 1990
Last certification
Sep 4, 2025
Beds
10
Ownership / control type
Private (non-profit)
Facility address
3401 Chapel Pines Drive
Pine Bluff, AR 71603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851428189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033935",
            "telephone_number": "870-534-2035",
            "fax_number": "870-534-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CHAPEL PINES DRIVE SOUTH",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "71603",
            "telephone_number": "870-879-0311",
            "fax_number": "870-879-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENKINS HOUSING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOAGLAN",
        "authorized_official_first_name": "ZELDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "870-534-2035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAPEL PINES NORTH OR SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pine Bluff, AR

Sources for this page

Verify at the official NPI Registry.