BROADWAY HEALTH HOLDINGS LLC (NPI# 1396119731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396119731 |
| Entity Type | Organization |
| Organization Name | BROADWAY HEALTH HOLDINGS LLC |
| Other Organization Name | BROADWAY HEALTH AND REHAB |
| Practice Address |
800 W Broadway St West Memphis AR 72301-2912 |
| Practice Telephone | 8703945477 |
| Practice Fax Number | 8707350614 |
| Mailing Telephone | 8703945477 |
| Mailing Fax Number | 8707350614 |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | JOSEPH SCHWARTZ (MANAGER) |
| Authorized Official Telephone | 2016351195 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1096 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 211200311 | 05 |
| Other Name | Type Code |
|---|---|
| BROADWAY HEALTH AND REHAB | Doing Business As Name - Organization |
| Street Address |
800 W BROADWAY ST |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528693058 | Rebecca Gromley | Speech-Language Pathologist | 800 W Broadway St, West Memphis, AR 72301-2912 | 2020-03-05 |
| 1366089427 | West Memphis Wellness LLC | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2019-12-06 |
| 1003398843 | Community Compassion West Memphis | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2018-08-29 |
| 1073048849 | Trevia Goodall | General Acute Care Hospital | 800 W Broadway St, West Memphis, AR 72301-2912 | 2017-04-28 |
| 1326472770 | Broadway Health and Rehab, LLC | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598775686 | West Memphis Healthcare Center, LLC | Skilled Nursing Facility | 800 West Broadway, West Memphis, AR 72301 | 2006-08-09 |
| 1174514616 | Waverley - Arkansas, Inc. | Skilled Nursing Facility | 610 S Avalon St, West Memphis, AR 72301-4109 | 2005-11-03 |
| 1366089427 | West Memphis Wellness LLC | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2019-12-06 |
| 1003398843 | Community Compassion West Memphis | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2018-08-29 |
| 1467817197 | Wm Crittenden Operations LLC | Skilled Nursing Facility | 610 S Avalon St, West Memphis, AR 72301-4109 | 2015-12-23 |
| 1326472770 | Broadway Health and Rehab, LLC | Skilled Nursing Facility | 800 W Broadway St, West Memphis, AR 72301-2912 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558904979 | Ola Ops, Inc. | Skilled Nursing Facility | 502 W Pennington St, Ola, AR 72853-8851 | 2019-10-18 |
| 1831746676 | Cwnc Ops Inc | Skilled Nursing Facility | 1393 E Don Tyson Pkwy, Springdale, AR 72764-7882 | 2019-08-26 |
| 1881256493 | Bayshore, LLC | Skilled Nursing Facility | 260 Lakepark Dr, Hot Springs, AR 71901-9260 | 2019-07-03 |
| 1508322249 | Superior Health & Rehab LLC | Skilled Nursing Facility | 625 Tommy Lewis Dr, Conway, AR 72032-7006 | 2019-02-19 |
| 1447733480 | Chc Lakeside Nursing Center, LLC | Skilled Nursing Facility | 1207 Willow Run St, Lake City, AR 72437-9520 | 2018-09-14 |
| 1811470784 | Ltc of Berryville, LLC | Skilled Nursing Facility | 500 Hammond Avenue, Berryville, AR 72616 | 2018-09-07 |
| 1659858348 | Poplar Grove Operations LLC | Skilled Nursing Facility | 7801 Kanis Road, Little Rock, AR 72204 | 2018-07-25 |
| 1386140341 | Three Rivers Nursing and Rehabilitation LLC | Skilled Nursing Facility | 33904 Highway 63 E, Marked Tree, AR 72365-9521 | 2018-03-30 |
| 1093244097 | Salco Nc 2, Inc. | Skilled Nursing Facility | 6420 Alcoa Rd, Benton, AR 72015-6315 | 2017-06-05 |
| 1184168072 | Dierks Healthcare & Rehabilitation Center LLC | Skilled Nursing Facility | 402 S Arkansas Ave, Dierks, AR 71833-9001 | 2016-12-12 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.