SRN Management 2, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

958 Issued in AR

Legal business name

SRN MANAGEMENT 2, LLC

Doing business as

Promenade Health and Rehabilitation

Practice address

1101 S Promenade Blvd
Rogers, AR 72758-1800

Phone

(479) 273-3373

NPI assigned

Jun 5, 2015

Last updated

Jun 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Andy Rye

Title

Vice President

Phone

(479) 410-1740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Promenade Health and Rehabilitation Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992185789. Details of each certification follow.

• CCN 045361 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 045361

Legal name

SRN MANAGEMENT 2 LLC

Doing business as

PROMENADE HEALTH AND REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jan 3, 2001

Last certification

Jul 25, 2024

Beds

114

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

1101 S Promenade Blvd
Rogers, AR 72758-1800

Nursing home name

PROMENADE HEALTH AND REHABILITATION

Affiliated entity

STEIN LTC

Listed as

Promenade Health and RehabilitationCCN 045361 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

3 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Jan 3, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

11467.6 residents per day on average

Chain

Stein LTC4 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Lance Lee Hamilton, M.D.

  • Internal Medicine Physician
  • Bentonville, AR
  • NPI 1053309898

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

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

• Prairie Grove Health and Rehabilitation LLC

  • Skilled Nursing Facility
  • Prairie Grove, AR
  • NPI 1588833974

  Robert V Rye Liv TR DTD 10042022

  CMS ownership
• Wonder Boys Properties of Arkansas, LLC

  dba Van Buren Healthcare and Rehabilitation Center

  • Skilled Nursing Facility
  • Van Buren, AR
  • NPI 1295914802

  Robert V Rye Liv TR DTD 10042022

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lance Lee Hamilton, M.D.

  • Internal Medicine Physician
  • Bentonville, AR
  • NPI 1053309898

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1992185789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-410-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S PROMENADE BLVD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727581800",
            "telephone_number": "479-273-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRN MANAGEMENT 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "RYE",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "479-410-1740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208282311",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Promenade Health and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Creed Spann, M.D.
• Susan Joann Spear, RN
• Amy Elizabeth Specht, MS
• Specialized Physical Therapy of Nwa LLC
• Dawn Spragg, MS LPC
• T Nicole St Clair, LPC
• St Francis House Nwa, Inc (Community Clinic Rogers Heritage)
• St Francis House Nwa, Inc (Community Clinic Mobile Health Unit)
• St Francis House Nwa, Inc (Community Clinic Rogers Physical Therapy)
• St Francis House Nwa, Inc (Community Clinic Rogers Audiology)

• Skilled Nursing Facility in Rogers, AR
• Providers in Rogers, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.

Verify at the official NPI Registry.