Provider Demographics
NPI:1659662229
Name:HLNC, INC
Entity Type:Organization
Organization Name:HLNC, INC
Other - Org Name:HERITAGE LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-932-0050
Mailing Address - Street 1:1175 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-3647
Mailing Address - Country:US
Mailing Address - Phone:501-327-7642
Mailing Address - Fax:501-327-2812
Practice Address - Street 1:1175 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-3647
Practice Address - Country:US
Practice Address - Phone:501-327-7642
Practice Address - Fax:501-327-2812
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHC OPERATIONS, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-04-29
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR946314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR186437311Medicaid
AR186437311Medicaid