MEDICARE: FAULKNER SNF OPERATIONS 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

General Provider Information

NPI Number	:	1528442258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAULKNER SNF OPERATIONS LLC

Provider Business Mailing Address
First Line	:	2603 DAVE WARD DR
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-6771
Country	:	US
Telephone Number	:	501-329-2149
Fax Number	:	501-329-4916

Provider Business Practice Location Address
First Line	:	2603 DAVE WARD DR
Second Line	:
City	:	CONWAY
State	:	AR
Zip	:	72034-6771
Country	:	US
Telephone Number	:	501-329-2149
Fax Number	:	501-329-4916

Authorized Official
Title or Position	:	MEMBER
Name	:	JOHN PONTHIE
Credential	:
Telephone Number	:	318-216-3316

Provider Enumeration Date	:	07/13/2015
Last Update Date	:	03/11/2026

Similar Medicare Providers

1104814771 — DIVERSICARE LEASING CORP.
Practice Location Address:

2603 DAVE WARD DR
CONWAY, AR
72034-6771

Practice Phone: 501-329-2149
Practice Fax: 501-329-4916

1326471723 — FAULKNER OPERATIONS, LLC
Practice Location Address:

2603 DAVE WARD DR
CONWAY, AR
72032-6771

Practice Phone: 501-329-2149
Practice Fax:

1750237715 — NIAH MESHELLE TAYLOR
Practice Location Address:

2740 COLLEGE AVE
CONWAY, AR
72034-6141

Practice Phone: 501-329-1738
Practice Fax:

1316894348 — DANI LEE HARDAWAY
Practice Location Address:

1540 FAVRE LN
CONWAY, AR
72034-6003

Practice Phone: 870-373-4114
Practice Fax:

1225985948 — JACQUELINE ARREOLA
Practice Location Address:

250 STURGIS RD
CONWAY, AR
72034-8334

Practice Phone: 501-513-7903
Practice Fax:

1770430159 — TARA L KEAR OTR
Practice Location Address:

3605 COLLEGE AVEUNE
CONWAY, AR
72034

Practice Phone: 501-327-2235
Practice Fax:

Directions to “FAULKNER SNF OPERATIONS 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.