WILLOW RIDGE NURSING AND REHABILITATION, LLC
NPI 1033095591
Skilled Nursing Facility in Benton, AR
About Willow Ridge Nursing And Rehabilitation, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW RIDGE NURSING AND REHABILITATION, LLC (NPI 1033095591) is a healthcare organization registered as a skilled nursing facility in Benton, Arkansas and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through January 4, 2028 and lists Rodney Dean, Secretary, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2336479
Willow Ridge Nursing And Rehabilitation · Benton, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Willow Ridge Nursing And Rehabilitation, LLC's NPI number?
The NPI number for Willow Ridge Nursing And Rehabilitation, LLC is 1033095591. It was assigned to this organization in the NPPES registry on August 12, 2025.
Where is Willow Ridge Nursing And Rehabilitation, LLC located?
Willow Ridge Nursing And Rehabilitation, LLC is located at 3855 Benton Pkwy, Benton, AR 72015. The listed phone number is (501) 575-0137.
What is Willow Ridge Nursing And Rehabilitation, LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Willow Ridge Nursing And Rehabilitation, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D2336479) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Willow Ridge Nursing And Rehabilitation, LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.