Fayetteville Health & Rehabilitation Center

LBN: Northport Health Services Of Arkansas, Llc
Fayetteville Health & Rehabilitation Center is an health care organization with primary practice located at 3100 N Old Mo Rd , Fayetteville AR 72703-4415. 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. Northport Health Services Of Arkansas, Llc can be contacted via phone (479) 521-4353, or through Long, Phillip Cody via phone (205) 391-3600.

Contact Information

Primary practice address
3100 N Old Mo Rd Fayetteville AR 72703-4415
Phone: (479) 521-4353
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Long, Phillip Cody
Phone: (205) 391-3600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 592 Arkansas

Profile Details

NPI number 1962457325
LBN Legal business name Northport Health Services Of Arkansas, Llc
DBA Doing business as Fayetteville Health & Rehabilitation Center
Authorized official Long, Phillip Cody
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2006
Last updated Oct 26th, 2020 - about 5 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 1962457325 NPPES
Arkansas MEDICAID 119590311

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