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
Phone: (479) 636-5841
Fax: (479) 621-8345
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306832167 | NPPES |
Arkansas | MEDICAID | 119722311 |
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