MEDICARE: JONESBORO HEALTH AND REHAB, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	744	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164856522
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONESBORO HEALTH AND REHAB, LLC

Provider Business Mailing Address
First Line	:	1423 CLARKVIEW RD
Second Line	:	SUITE 500
City	:	BALTIMORE
State	:	MD
Zip	:	21209-2134
Country	:	US
Telephone Number	:	410-427-2700
Fax Number	:	414-815-5558

Provider Business Practice Location Address
First Line	:	1705 LATOURETTE LN
Second Line	:
City	:	JONESBORO
State	:	AR
Zip	:	72404-0797
Country	:	US
Telephone Number	:	870-935-7550
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. BRIAN K. REYNOLDS
Credential	:
Telephone Number	:	410-513-8738

Provider Enumeration Date	:	08/21/2013
Last Update Date	:	06/09/2015

Similar Medicare Providers

1750755195 — JONESBORO HOLDINGS LLC
Practice Location Address:

1705 LATOURETTE LN
JONESBORO, AR
72404-0797

Practice Phone: 870-738-9235
Practice Fax: 870-931-0093

1043769540 — MR. COLBY GOLDEN OTR
Practice Location Address:

1705 LATOURETTE LN
JONESBORO, AR
72404-0797

Practice Phone: 870-935-7550
Practice Fax:

1346722188 — COMMUNITY COMPASSION JONESBORO
Practice Location Address:

1705 LATOURETTE LN
JONESBORO, AR
72404-0797

Practice Phone: 501-690-1335
Practice Fax:

1003375429 — MRS. JORDAN RAMM PTA
Practice Location Address:

1705 LATOURETTE LN
JONESBORO, AR
72404-0797

Practice Phone: 870-935-7550
Practice Fax:

1548807431 — JONESBORO WELLNESS LLC
Practice Location Address:

1701 LATOURETTE LN
JONESBORO, AR
72404-0797

Practice Phone: 718-838-1500
Practice Fax:

1275196065 — AMANDA SHARRELL THOMAS APN-CRNA
Practice Location Address:

1 WILLOW CREEK LN APT 1111
JONESBORO, AR
72404-8098

Practice Phone: 972-821-8885
Practice Fax:

Directions to “JONESBORO HEALTH AND REHAB, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.