Heritage Park Nursing Center

LBN: Kmj Enterprises Heritage Park Llc
Heritage Park Nursing Center is an health care organization with primary practice located at 1513 S Dixieland Rd , Rogers AR 72758-4935. 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 Heritage Park Llc can be contacted via phone (479) 636-5841, or through Miller, Patricia A via phone (479) 636-5716.

Contact Information

Primary practice address
1513 S Dixieland Rd Rogers AR 72758-4935
Fax: (479) 621-8345
Website:
Authorized official contact:
Name: Miller, Patricia A

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 714 Arkansas

Profile Details

NPI number 1306832167
LBN Legal business name Kmj Enterprises Heritage Park Llc
DBA Doing business as Heritage Park Nursing Center
Authorized official Miller, Patricia A
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 26th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306832167 NPPES
Arkansas MEDICAID 119722311

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