NPIMap

Organization Active NPI

Txknc, Inc.

Doing business as Bailey Creek Health & Rehab

  • Skilled Nursing Facility
  • Texarkana, AR
National Provider Identifier
1932361607
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
TXKNC, INC.
Doing business as
Bailey Creek Health & Rehab
Practice address
1621 E 42ND St
Texarkana, AR 71854-1654
Phone
(870) 774-3581
Fax
(870) 779-9609
NPI assigned
Jun 25, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Anthony Brandon Adams
Title
President
Phone
(501) 932-0050

Specialties & licenses 1

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

Addresses

Primary practice location

1621 E 42ND St
Texarkana, AR 71854-1654

Mailing address

1621 E 42ND St
Texarkana, AR 71854-1654
Phone (870) 774-3581

Other identifiers 1

IdentifierTypeStateIssuer
168490311MedicaidAR

Other names 1

  • Bailey Creek Health & Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080918000348 KS Part A Provider - Skilled Nursing Facility 6507932019 Practice locations: Texarkana, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932361607. Details of each certification follow.

Skilled nursing facility certification: CCN 045241

Legal name
TXKNC, INC.
Doing business as
BAILEY CREEK HEALTH & REHAB
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1994
Last certification
Sep 6, 2024
Beds
74
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1621 E 42ND St
Texarkana, AR 71854-1654
Nursing home name
BAILEY CREEK HEALTH AND REHAB
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bailey Creek Health and RehabCCN 045241 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7487.0 residents per day on average
Chain
Anthony & Bryan Adams38 facilities in the chain

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
04D1089245Bailey Creek Health & Rehab1621 E 42ND St, Texarkana, AR 71854Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Miller NH, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Jan 21, 2021
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Mar 14, 2008 50%
Corporate OfficerVice-President Mar 14, 2008 50%
Adp of the SNF Jul 1, 2008
Clay Walt Ferguson Individual Operational/Managerial Control Aug 28, 2024
Adp of the SNF Aug 28, 2024
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2008
Larry M McGinnis Individual Adp of the SNF Jul 1, 2008
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 1, 2008
RHC Operations Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 14, 2008 100%
John Ellis Individual Corporate OfficerChief Operations Officer Jul 1, 2004
Adp of the SNF Jul 1, 2008
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Jul 1, 2008
3B Holdings, LLC Organization, Conway, AR Holding company, For-profit Adp of the SNF Jan 21, 2021
Stephen McGuire Individual Corporate DirectorDirector of Facility Operations Jan 21, 2024
Adp of the SNF Jan 22, 2024
Sarah L Gaither Individual Operational/Managerial Control Jan 22, 2024
Adp of the SNF Jan 2, 2024
Tobey Koehler Individual Corporate OfficerChief Financial Officer Jul 1, 2008
Adp of the SNF Jul 1, 2008
Ginger Joiner Individual Adp of the SNF Jan 22, 2024
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Mar 14, 2008 50%
Corporate OfficerPresident Mar 14, 2008 50%
Adp of the SNF Jan 21, 2021

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 17

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

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1932361607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 E 42ND ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541654",
            "telephone_number": "870-774-3581",
            "fax_number": "870-779-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 E 42ND ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718541654",
            "telephone_number": "870-774-3581",
            "fax_number": "870-779-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TXKNC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168490311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Creek Health & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

Verify at the official NPI Registry.