Organization Active NPI

Jamestown Nursing and Rehab, LLC

  • Skilled Nursing Facility
  • Rogers, AR
National Provider Identifier
1871897041
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
JAMESTOWN NURSING AND REHAB, LLC
Practice address
2001 S Hampton PL
Rogers, AR 72758-1352
Phone
(479) 986-9945
NPI assigned
Jan 3, 2011
Last updated
Aug 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Authorized official

Name
Mr. Michael S. Morton
Title
Member
Phone
(479) 783-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2001 S Hampton PL
Rogers, AR 72758-1352

Mailing address

415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672

Other identifiers 1

IdentifierTypeStateIssuer
185475311MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110221001043 AR Part A Provider - Skilled Nursing Facility 5294916474 Practice locations: Rogers, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871897041. Details of each certification follow.

Skilled nursing facility certification: CCN 045435

Legal name
JAMESTOWN NURSING AND REHAB, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 14, 2010
Last certification
May 22, 2025
Beds
140
Ownership / control type
Limited Liability Corporation
Most recent change of ownership
Feb 1, 2011
Organization structure
LLCProprietary
Incorporated
Dec 29, 2010 in AR
Enrollment address
2001 S Hampton PL
Rogers, AR 72758-1352
Nursing home name
JAMESTOWN NURSING AND REHAB, LLC
Affiliated entity
CENTRAL ARKANSAS NURSING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Jamestown Nursing And Rehab, LLCCCN 045435 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 14, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
14084.1 residents per day on average
Chain
Central Arkansas Nursing Centers38 facilities in the chain
Penalties (3 years)
3Fines totaling $77,541

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
04D2021119Jamestown Nursing & Rehab, LLC2001 Hampton PL, Rogers, AR 72758Certificate of waiverMar 6, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
David L Norsworthy Individual 5% Or Greater Direct Ownership InterestMember Aug 1, 2025 40%
Adp of the SNF Aug 1, 2025
Jamestown Estates, LLC Organization, Fort Smith, AR LLC Adp of the SNF Dec 12, 2024
Bilal Naeem Individual Adp of the SNF Dec 10, 2024
Jessica Kramer Individual Operational/Managerial Control Dec 10, 2024
Adp of the SNF Oct 20, 2004
Nursing Consultants Inc Organization, Fort Smith, AR Corporation, Consulting firm Adp of the SNF Aug 25, 2025
Michael S Morton Individual 5% Or Greater Direct Ownership Interest Dec 29, 2010 60%
Direct Ownership Interest Dec 12, 2024 60%

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": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1871897041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 ROGERS AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729011903",
            "telephone_number": "479-783-4672",
            "fax_number": "479-783-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S HAMPTON PL",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581352",
            "telephone_number": "479-986-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMESTOWN NURSING AND REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "479-783-4672",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185475311",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.