Healthcare Provider Details

I. General information

NPI: 1578919544
Provider Name (Legal Business Name): HERITAGE OF HOT SPRINGS HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 05/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 GOLF LINKS RD
HOT SPRINGS AR
71901-7917
US

IV. Provider business mailing address

552 GOLF LINKS RD
HOT SPRINGS AR
71901-7917
US

V. Phone/Fax

Practice location:
  • Phone: 501-624-7149
  • Fax: 501-624-4251
Mailing address:
  • Phone: 501-624-7149
  • Fax: 501-624-4251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateAR

VIII. Authorized Official

Name: JOSEPH SCHWARTZ
Title or Position: MANAGER
Credential:
Phone: 201-635-1195