Active NPI
Meadowview Healthcare and Rehab
- Skilled Nursing Facility
- Huntsville, AR
National Provider Identifier
1912084450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 098
- Legal business name
- MEADOWVIEW HEALTHCARE AND REHAB
- Practice address
- 825 N Gaskill St
Huntsville, AR 72740-8968 - Phone
- (479) 738-2021
- Fax
- (479) 738-1515
- NPI assigned
- Nov 1, 2006
- Last updated
- Aug 22, 2020
- 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
- Mrs. Mandy Elsey
- Title
- Administrator
- Phone
- (479) 738-2021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 098 | AR | Primary |
Addresses
Primary practice location
825 N Gaskill St
Huntsville, AR 72740-8968
Mailing address
825 N Gaskill St
Huntsville, AR 72740-8968
Phone (479) 738-2021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10519 | Other | AR | AR BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040428001072 | AR | Part A Provider - Skilled Nursing Facility | 8325035603 | Practice locations: Huntsville, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1912084450. Details of each certification follow.
Skilled nursing facility certification: CCN 045341
- Legal name
- MEADOWVIEW HEALTHCARE AND REHAB
- Doing business as
- MEADOWVIEW HEALTHCARE AND REHAB
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Apr 1, 1998
- Last certification
- Oct 16, 2024
- Beds
- 105
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Incorporated
- Feb 24, 1989 in AR
- Enrollment address
- 825 North Gaskill St
Huntsville, AR 72740-8968 - Nursing home name
- MEADOWVIEW HEALTHCARE AND REHAB
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Meadowview Healthcare and Rehab
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Apr 1, 1998
- Medicare certification status
- Active
- Certified beds
- 105
- Special focus status
- SFF Candidate
- Penalties (3 years)
- 4
National Provider Directory
National Provider DirectoryLocations
825 N Gaskill St
Huntsville, AR 72740
Phone (479) 263-2843
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Travis D Embry | Corporate Director | Apr 8, 2008 | |
| Twilla Bryant | Corporate Director | Apr 9, 2008 | |
| Charles Shinn | Corporate Director | Apr 8, 2008 | |
| Ruby Pyle | Corporate Director | Sep 1, 1998 | 5% |
| W-2 Managing Employee | Jul 9, 2007 | ||
| Clyde M Norris | Corporate Director | Apr 9, 2008 |
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 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": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912084450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GASKILL ST",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727408968",
"telephone_number": "479-738-2021",
"fax_number": "479-738-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N GASKILL ST",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727408968",
"telephone_number": "479-738-2021",
"fax_number": "479-738-1515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWVIEW HEALTHCARE AND REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ELSEY",
"authorized_official_first_name": "MANDY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "479-738-2021",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "098",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "10519",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.