Arkansas Convalescent Center

LBN: Acc 1, Llc
Arkansas Convalescent Center is an health care organization with primary practice located at 6301 S Hazel St , Pine Bluff AR 71603-7818. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Acc 1, Llc can be contacted via phone (870) 534-8153, or through Deshotels, Kyle Mark via phone (870) 733-1255.

Contact Information

Primary practice address
6301 S Hazel St Pine Bluff AR 71603-7818
Phone: (870) 534-8153
Fax: (870) 534-6073
Website:
Map and Directions
Authorized official contact:
Name: Deshotels, Kyle Mark
Phone: (870) 733-1255

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1821085499
LBN Legal business name Acc 1, Llc
DBA Doing business as Arkansas Convalescent Center
Authorized official Deshotels, Kyle Mark
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2005
Last updated Mar 30th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821085499 NPPES
Arkansas Other 15527 BLUE CROSS/BLUE SHIELD
Arkansas MEDICAID 119683311 BLUE CROSS/BLUE SHIELD

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