EVEREST REHABILITATION HOSPITAL BENTONVILLE LLC NPI 1699322164

NPI Information

NPI: 1699322164
Provider Name: EVEREST REHABILITATION HOSPITAL BENTONVILLE, LLC

Doing Business As: EVEREST REHABILITATION HOSPITAL BENTONVILLE

Classification: Rehabilitation Hospital - 283X00000X
Entity Type: Organization

Address:
4313 S. PLEASANT CROSSING BLVD.
ROGERS, AR
ZIP 72758
Phone: (469) 713-1145
Get Directions

EVEREST REHABILITATION HOSPITAL BENTONVILLE, LLC is a rehabilitation hospital in Rogers, AR. The provider is a hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. EVEREST REHABILITATION HOSPITAL BENTONVILLE, LLC NPI is 1699322164. The provider is registered as an organization entity type.
The provider Is Doing Business As Everest Rehabilitation Hospital Bentonville.

The provider's business location address is:

4313 S. PLEASANT CROSSING BLVD.
ROGERS, AR
ZIP 72758
Phone: (469) 713-1145

The provider's authorized official is Omar Jenkins .
The authorized official title is Secretary & Treasurer and has the following contact phone number (469) 713-1145.

The CLIA number assigned to this NPI record is 04D2176074 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/20/2019 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	283X00000X	Rehabilitation Hospital				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	240572526	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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