NPIMap

Organization Active NPI

Randolph SNF Operations LLC

  • Skilled Nursing Facility
  • Pocahontas, AR
National Provider Identifier
1891179560
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
RANDOLPH SNF OPERATIONS LLC
Practice address
105 Country Club Rd
Pocahontas, AR 72455-1364
Phone
(870) 892-2523
Fax
(870) 892-1469
NPI assigned
Jul 13, 2015
Last updated
Mar 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
John Ponthie
Title
Member
Phone
(318) 216-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

105 Country Club Rd
Pocahontas, AR 72455-1364

Mailing address

105 Country Club Rd
Pocahontas, AR 72455-1364
Phone (870) 892-2523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191127002042 AR Part A Provider - Skilled Nursing Facility 8820421175 Practice locations: Pocahontas, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891179560. Details of each certification follow.

Skilled nursing facility certification: CCN 045284

Legal name
RANDOLPH SNF OPERATIONS LLC
Doing business as
POCAHONTAS HEALTHCARE AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1995
Last certification
Aug 22, 2024
Beds
97
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Apr 23, 2019 in AR
Enrollment address
105 Country Club Rd
Pocahontas, AR 72455-1364
Nursing home name
POCAHONTAS HEALTHCARE AND REHABILITATION CENTER
Affiliated entity
SOUTHERN ADMINISTRATIVE SERVICES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Pocahontas Healthcare and Rehabilitation CenterCCN 045284 · All quality measures
Overall star rating
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9748.1 residents per day on average
Chain
Southern Administrative Services35 facilities in the chain
Penalties (3 years)
1Fines totaling $9,307

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jej Assets LP Organization, Alexandria, LA Holding company, For-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2022 100%
Jeannie M Fort Individual W-2 Managing EmployeeAdministrator Sep 1, 2019
Alexark1 LLC Organization, Shreveport, LA LLC, For-profit Operational/Managerial Control Jan 1, 2022 100%
Jej Management, LLC Organization, Shreveport, LA LLC Operational/Managerial Control Jan 1, 2022 100%
John F Ponthie Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2019 40%
Corporate OfficerChairman of the Board Sep 1, 2019
Sharlot Ponthie Individual 5% Or Greater Indirect Ownership Interest50 Jan 1, 2022
4P2T1 Ops Holding LP Organization, Houston, TX Holding company 5% Or Greater Direct Ownership Interest Sep 1, 2019 100%
Deborah R Hicks Individual W-2 Managing Employee Aug 1, 2023

Facilities with the same owner 38

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

View all 38

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": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1891179560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COUNTRY CLUB RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551364",
            "telephone_number": "870-892-2523",
            "fax_number": "870-892-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 COUNTRY CLUB RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551364",
            "telephone_number": "870-892-2523",
            "fax_number": "870-892-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDOLPH SNF OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "PONTHIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-216-3316"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

Verify at the official NPI Registry.