Provider Demographics
NPI:1083355499
Name:ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Entity Type:Organization
Organization Name:ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-598-7206
Mailing Address - Street 1:3024 RED WOLF BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-7431
Mailing Address - Country:US
Mailing Address - Phone:870-819-4040
Mailing Address - Fax:
Practice Address - Street 1:3024 RED WOLF BLVD STE 1
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:AR
Practice Address - Zip Code:72401-7431
Practice Address - Country:US
Practice Address - Phone:870-819-4040
Practice Address - Fax:870-819-4390
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARKANSAS CONTINUED CARE HOSPITAL OF JONESBORO, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-07
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
ARAR5351OtherLICENSE