NPIMap

Organization Active NPI

Valley Ranch Healthcare LLC

  • Skilled Nursing Facility
  • Little Rock, AR
National Provider Identifier
1962071464
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
VALLEY RANCH HEALTHCARE LLC
Practice address
6411 Valley Ranch Dr
Little Rock, AR 72223-4543
Phone
(501) 868-8857
Fax
(501) 868-8245
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Chaim Herzberg
Title
Ceo
Phone
(718) 838-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6411 Valley Ranch Dr
Little Rock, AR 72223-4543

Mailing address

362 E Kennedy Blvd
Lakewood, NJ 08701-1434
Phone (718) 838-1500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020001137 AR Part A Provider - Skilled Nursing Facility 8820486004 Practice locations: Little Rock, AR

Skilled nursing facility certification: CCN 045431

Legal name
VALLEY RANCH HEALTHCARE LLC
Doing business as
THE SPRINGS OF PINNACLE MOUNTAIN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 23, 2010
Last certification
Sep 26, 2024
Beds
110
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
May 25, 2021 in AR
Enrollment address
6411 Valley Ranch
Little Rock, AR 72223-4543
Nursing home name
THE SPRINGS OF PINNACLE MOUNTAIN
Affiliated entity
THE SPRINGS ARKANSAS

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Springs of Pinnacle MountainCCN 045431
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
2 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 23, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11079.1 residents per day on average
Chain
The Springs Arkansas26 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Isaac Gutman Individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 28.33%
Adp of the SNF Jul 1, 2021
David Templer Individual Adp of the SNF Jul 1, 2021
Blue River Healthcare LLC Organization, Lakewood, NJ LLC, Management services company Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 28, 2025
Jacob Taub Individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 28.33%
Adp of the SNF Jul 1, 2021
Jeffrey D Thessing Individual Operational/Managerial Control Jul 1, 2021
Adp of the SNF Jul 1, 2021
Alexander Hoffman Individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 28.33%
Adp of the SNF Jul 1, 2021
Chaim Y Herzberg Individual 5% Or Greater Direct Ownership Interest Jul 1, 2021 15%
Adp of the SNF Jul 1, 2021
Moussa Baro Individual Operational/Managerial Control May 10, 2023
Adp of the SNF May 10, 2023
Valley Realty Holdings LLC Organization, Lakewood, NJ LLC, Holding company Adp of the SNF Jul 1, 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 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1962071464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 E KENNEDY BLVD",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011434",
            "telephone_number": "718-838-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 VALLEY RANCH DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234543",
            "telephone_number": "501-868-8857",
            "fax_number": "501-868-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RANCH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "HERZBERG",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-838-1500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.