Organization Active NPI

CHC Harris Healthcare, LLC

  • Skilled Nursing Facility
  • Osceola, AR
National Provider Identifier
1851874804
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Oct 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 RehabCCN 045440
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Mar 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9163.8 residents per day on average
Penalties (3 years)
1Fines totaling $8,281

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
04D0966821Harris Health and Rehab287 S Country Club Road, Osceola, AR 72370Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Boyd Thompson Wright Individual 5% Or Greater Direct Ownership Interest Nov 1, 2018 50%
Corporate OfficerManager Member Nov 1, 2018 50%
Crystal Oliver Individual W-2 Managing EmployeeFacility Administrator Sep 4, 2019 100%
Operational/Managerial ControlFacility Administrator Sep 4, 2019 100%
David Vann Individual 5% Or Greater Direct Ownership Interest Nov 1, 2018 50%
Corporate OfficerManager Member 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

Verify at the official NPI Registry.