Provider Demographics
NPI:1548578735
Name:SALINE SNF OPERATIONS LLC
Entity Type:Organization
Organization Name:SALINE SNF OPERATIONS LLC
Other - Org Name:HEARTLAND REHABILITATION AND CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:PONTHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-443-8167
Mailing Address - Street 1:19701 INTERSTATE 30
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72015-8024
Mailing Address - Country:US
Mailing Address - Phone:501-778-8200
Mailing Address - Fax:501-778-9652
Practice Address - Street 1:19701 INTERSTATE 30
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-8024
Practice Address - Country:US
Practice Address - Phone:501-778-8200
Practice Address - Fax:501-778-9652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR045199Medicare Oscar/Certification