Organization Active NPI

Salco NC Inc

Doing business as Evergreen Living Center at Stagecoach

  • Skilled Nursing Facility
  • Bryant, AR
National Provider Identifier
1962851568
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
SALCO NC INC
Doing business as
Evergreen Living Center at Stagecoach
Practice address
6907 Highway 5 N
Bryant, AR 72022-7902
Phone
(501) 213-0547
Fax
(501) 213-0553
NPI assigned
Jun 6, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
OVATION HEALTH SYSTEMS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

6907 Highway 5 N
Bryant, AR 72022-7902

Mailing address

6907 Highway 5 N
Bryant, AR 72022-7902
Phone (501) 213-0547

Other names 1

  • EVERGREEN LIVING CENTER AT STAGECOACH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160714001223 AR Part A Provider - Skilled Nursing Facility 7517259351 Practice locations: Bryant, AR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962851568. Details of each certification follow.

Skilled nursing facility certification: CCN 045457

Legal name
SALCO NC INC
Doing business as
EVERGREEN LIVING CENTER AT STAGECOACH
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 22, 2014
Last certification
Jan 31, 2025
Beds
116
Ownership / control type
Corporation
Multi-facility organization
Reliance Healthcare
Most recent change of ownership
Jul 2, 2016
Organization structure
CorporationProprietary
Incorporated
Apr 15, 2016 in AR
Enrollment address
6907 Highway 5 North
Bryant, AR 72022-7902
Nursing home name
EVERGREEN LIVING CENTER AT STAGECOACH
Affiliated entity
ANTHONY & BRYAN ADAMS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evergreen Living Center at StagecoachCCN 045457 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 22, 2014
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11697.1 residents per day on average
Chain
Anthony & Bryan Adams38 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 23

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

NameRoleSinceShare
Bryan Milburn Adams Individual 5% Or Greater Indirect Ownership InterestVice-President Jul 2, 2016 50%
Corporate OfficerVice-President Jul 2, 2016 50%
Arpana Edala Individual Operational/Managerial ControlMedical Director Aug 28, 2024
Adp of the SNF Aug 28, 2024
Kimberly R Schaap Individual Adp of the SNF Jul 2, 2016
RHS Nursing, LLC Organization, Rogers, AR LLC, Holding company, For-profit Adp of the SNF Jul 2, 2016
LTC Systems/RX, LLC Organization, Conway, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 2, 2016
Larry M McGinnis Individual Adp of the SNF Jul 2, 2016
Pharmacy Consults, LLC Organization, Searcy, AR LLC, Consulting firm, For-profit Adp of the SNF Jul 2, 2016
M&M Hathorn, LLC Organization, Rogers, AR LLC, Holding company, For-profit Adp of the SNF Jul 2, 2016
Incite Rehab, LLC Organization, Conway, AR LLC, For-profit Adp of the SNF Jul 2, 2016
Toni Hanna Individual Managing Control - Governing BodyClinical Nurse Consultant/Gov Body Aug 28, 2024
Adp of the SNF Aug 28, 2024
Ovation Health Systems, Inc Organization, Conway, AR Corporation, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 25, 2016 100%
Rita Pedigo Individual Adp of the SNF Jul 2, 2016
H & S Bryant, LLC Organization, Rogers, AR LLC, For-profit Adp of the SNF Jul 2, 2016
William Mainord Individual Adp of the SNF Jul 2, 2016
John Ellis Individual Corporate OfficerChief Operations Officer Jul 2, 2016
Adp of the SNF Nov 26, 2024
Reliance Health Care, Inc. Organization, Conway, AR Corporation, For-profit Adp of the SNF Jul 2, 2016
Stephen McGuire Individual Corporate DirectorDirector of Facility Operations Jul 2, 2016
Managing Control - Governing BodyDir of Facility Operations/Gov Body Jul 2, 2016
Adp of the SNF Jul 2, 2016
Amanda Roeck Individual Operational/Managerial Control Nov 25, 2024
Managing Control - Governing BodyFacility Administrator/Gov Body Mem Nov 26, 2024
Adp of the SNF Nov 26, 2024
Tobey Koehler Individual Corporate OfficerCfo Dec 20, 2007
Adp of the SNF Jul 2, 2016
Anthony Brandon Adams Individual 5% Or Greater Indirect Ownership InterestPresident Jul 2, 2016 50%
Corporate OfficerPresident Jul 2, 2016 50%
Don Schaap Individual Adp of the SNF Jul 2, 2016
Michael Hathorn Individual Adp of the SNF Jul 2, 2016
Schaap, LLC Organization, Rogers, AR LLC, Holding company, For-profit Adp of the SNF Jul 2, 2016

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 8

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

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": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1962851568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6907 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227902",
            "telephone_number": "501-213-0547",
            "fax_number": "501-213-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 HIGHWAY 5 N",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227902",
            "telephone_number": "501-213-0547",
            "fax_number": "501-213-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALCO NC INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OVATION HEALTH SYSTEMS INC",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "501-932-0050"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN LIVING CENTER AT STAGECOACH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryant, AR

Sources for this page

Verify at the official NPI Registry.