Active NPI
CHC Harris Healthcare, LLC
- Skilled Nursing Facility
- Osceola, AR
National Provider Identifier
1851874804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- CHC HARRIS HEALTHCARE, LLC
- Practice address
- 287 S Country Club Rd
Osceola, AR 72370-6047 - Phone
- (870) 563-3201
- Fax
- (870) 563-3797
- NPI assigned
- Sep 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Boyd Wright
- Title
- Ceo
- Phone
- (870) 347-0001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
287 S Country Club Rd
Osceola, AR 72370-6047
Mailing address
305 Highway 64 E Ste D
Augusta, AR 72006-5158
Phone (870) 347-0001
Other names 1
- Harris Health and Rehab
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181113002771 | AR | Part A Provider - Skilled Nursing Facility | 9537413489 | Practice locations: Osceola, AR |
Skilled nursing facility certification: CCN 045440
- Legal name
- CHC HARRIS HEALTHCARE, LLC
- Doing business as
- HARRIS HEALTH AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 8, 2011
- Last certification
- Apr 18, 2024
- Beds
- 91
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Incorporated
- Nov 1, 2018 in AR
- Enrollment address
- 287 S Country Club Road
Osceola, AR 72370-6047 - Nursing home name
- HARRIS HEALTH AND REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Harris Health and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Mar 8, 2011
- Medicare certification status
- Active
- Certified beds
- 91
- Penalties (3 years)
- 1
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 |
|---|---|---|---|
| 04D0966821 | Harris Health and Rehab | Certificate of waiver | Oct 25, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Boyd Thompson Wright | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 50% |
| Corporate Officer | Nov 1, 2018 | 50% | |
| Crystal Oliver | W-2 Managing Employee | Sep 4, 2019 | 100% |
| Operational/Managerial Control | Sep 4, 2019 | 100% | |
| David Vann | 5% Or Greater Direct Ownership Interest | Nov 1, 2018 | 50% |
| Corporate Officer | Nov 1, 2018 | 50% |
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": "1536883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1851874804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 HIGHWAY 64 E STE D",
"city": "AUGUSTA",
"state": "AR",
"postal_code": "720065158",
"telephone_number": "870-347-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 S COUNTRY CLUB RD",
"city": "OSCEOLA",
"state": "AR",
"postal_code": "723706047",
"telephone_number": "870-563-3201",
"fax_number": "870-563-3797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHC HARRIS HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-14",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "BOYD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "870-347-0001"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1066.1",
"affiliationName": "eSolutions Inc",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CSV",
"address_1": "8215 W 108th Ter",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662101661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Harris Health and Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Osceola, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.