Basic Information
| Provider Information | |||||||||
| NPI: | 1578919544 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HERITAGE OF HOT SPRINGS HOLDINGS, LLC | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | HERITAGE OF HOT SPRINGS HEALTH AND REHAB | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 552 GOLF LINKS RD | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719017917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247149 | ||||||||
| FaxNumber: | 5016244251 | ||||||||
| Practice Location | |||||||||
| Address1: | 552 GOLF LINKS RD | ||||||||
| Address2: | |||||||||
| City: | HOT SPRINGS | ||||||||
| State: | AR | ||||||||
| PostalCode: | 719017917 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5016247149 | ||||||||
| FaxNumber: | 5016244251 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2016 | ||||||||
| LastUpdateDate: | 05/10/2016 | ||||||||
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| AuthorizedOfficialLastName: | SCHWARTZ | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 2016351195 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | AR | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.