Bentonville Manor Nursing Home

LBN: Kmj Enterprises Bentonville Manor Llc
Bentonville Manor Nursing Home is an health care organization with primary practice located at 224 S Main St , Bentonville AR 72712-5963. 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. Kmj Enterprises Bentonville Manor Llc can be contacted via phone (479) 273-3373, or through Miller, Patricia via phone (479) 636-5716.

Contact Information

Primary practice address
224 S Main St Bentonville AR 72712-5963
Phone: (479) 273-3373
Fax: (479) 273-0623
Website:
Map and Directions
Authorized official contact:
Name: Miller, Patricia
Phone: (479) 636-5716

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 712 Arkansas

Profile Details

NPI number 1619964160
LBN Legal business name Kmj Enterprises Bentonville Manor Llc
DBA Doing business as Bentonville Manor Nursing Home
Authorized official Miller, Patricia
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 30th, 2005
Last updated Jun 10th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619964160 NPPES
Arkansas MEDICAID 119720311

Popular Providers