Active NPI
Brooken Hill Health and Rehab, LLC
- Skilled Nursing Facility
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- BROOKEN HILL HEALTH AND REHAB, LLC
- Practice address
- 9000 Highway 71 South
Fort Smith, AR 72908 - Phone
- (479) 227-5551
- NPI assigned
- Feb 7, 2024
- Last updated
- Aug 19, 2026
- 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
- Rodney Dean
- Title
- Secretary
- Phone
- (479) 783-4672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | NU | Primary |
Addresses
Primary practice location
9000 Highway 71 South
Fort Smith, AR 72908
Mailing address
415 Rogers Ave
Fort Smith, AR 72901-1903
Phone (479) 783-4672
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240716001278 | AR | Part A Provider - Skilled Nursing Facility | 9335684216 | Practice locations: Fort Smith, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1922862259. Details of each certification follow.
Skilled nursing facility certification: CCN 045479
- Legal name
- BROOKEN HILL HEALTH AND REHAB, LLC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Sep 17, 2024
- Last certification
- Sep 17, 2024
- Beds
- 125
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- LLC
- Enrollment address
- 9000 Hwy 71 South
Fort Smith, AR 72908-8068 - Nursing home name
- BROOKEN HILL HEALTH AND REHAB, LLC
- Affiliated entity
- CENTRAL ARKANSAS NURSING CENTERS
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Brooken Hill Health And Rehab, Llc
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Sep 17, 2024
- Medicare certification status
- Active
- Certified beds
- 125
- Chain
- Central Arkansas Nursing Centers
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 |
|---|---|---|---|
| 04D2306634 | Brooken Hill Health and Rehab, LLC | Certificate of waiver | Jun 20, 2028 |
National Provider Directory
National Provider DirectoryLocations
4375 N Vantage Dr
Ste 405
Fayetteville, AR 72703
9000 Highway 71 S
Fort Smith, AR 72908
Phone (479) 227-5551
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| David L Norsworthy | 5% Or Greater Indirect Ownership Interest | Feb 8, 2023 | 30% |
| Adp of the SNF | Aug 1, 2025 | ||
| Thanh Le | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 | ||
| Michael S Morton | 5% Or Greater Direct Ownership Interest | Mar 1, 2024 | 70% |
| Corporate Officer | Mar 1, 2024 | 100% | |
| Kristi Terry | Operational/Managerial Control | Aug 1, 2024 | |
| Adp of the SNF | Aug 1, 2024 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Centerton, AR
- NPI 1144664384
Adp of the SNF, Operational/Managerial Control
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": "1707264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787097600000",
"number": "1922862259",
"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": "9000 HIGHWAY 71 SOUTH",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "72908",
"telephone_number": "479-227-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKEN HILL HEALTH AND REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-07",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A",
"authorized_official_last_name": "DEAN",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "479-783-4672"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.