WILLOW RIDGE NURSING AND REHABILITATION, LLC
NPI 1033095591
Skilled Nursing Facility in Benton, AR

Active since August 12, 2025CLIA 04D2336479 · Waiver
3855 BENTON PKWY, BENTON, AR 72015(501) 575-0137 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, Aug 12, 2025 (2 updates tracked since 2025).

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

NPI1033095591
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameWILLOW RIDGE NURSING AND REHABILITATION, LLC
Location Address3855 BENTON PKWYBenton, AR 72015-8500
Mailing Address415 Rogers AveFort Smith, AR 72901-1903 · (479) 783-4672 · Fax (479) 783-2217
Organization SubpartNo
Authorized OfficialRodney DeanSecretary · (479) 783-4672
Enumeration DateAugust 12, 2025
Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1033095591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
3855 BENTON PKWY, Benton, AR 72015

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, AR
Active · expires Jan 4, 2028
CLIA Number04D2336479
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorBobby Lamb
Laboratory Phone(501) 575-0137
Laboratory LocationWillow Ridge Nursing And Rehabilitation3855 Benton Parkway, Benton, AR 72015
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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.