DAVIS EAST
NPI 1104814383
Skilled Nursing Facility in Pine Bluff, AR

Active since October 11, 2005
6811 S HAZEL ST, PINE BLUFF, AR 71603(870) 535-1155(870) 535-0732 Get Directions Write a Review

NPPES record last updated: July 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Davis East NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIS EAST (NPI 1104814383) is a healthcare organization registered as a skilled nursing facility in Pine Bluff, Arkansas and active in the NPI registry since October 2005. The organization lists Michael T Shepard, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104814383
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHAZEL STREET NURSING ASSOCIATION
Location Address6811 S HAZEL STPine Bluff, AR 71603-7829
Mailing Address6811 S Hazel StPine Bluff, AR 71603-7829 · (870) 535-1155 · Fax (870) 535-0732
Fax(870) 535-0732
Organization SubpartNo
Authorized OfficialMichael T ShepardExecutive Director · (870) 541-0342
Enumeration DateOctober 11, 2005
Last NPPES UpdateJuly 12, 2013
NPI 1104814383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AR · 725
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.
6811 S HAZEL ST, Pine Bluff, AR 71603

Other Names 1

Doing Business AsDavis East

Other Identifiers 2

Medicare ID-Type Unspecified04-5311AR · Medicare Provider Number
Medicaid119733311AR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
6811 S HAZEL ST
PINE BLUFF, AR 71603

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 Hazel Street Nursing Association's NPI number?

The NPI number for Hazel Street Nursing Association is 1104814383. It was assigned to this organization in the NPPES registry on October 11, 2005. The provider is doing business as Davis East.

Where is Hazel Street Nursing Association located?

Hazel Street Nursing Association is located at 6811 S Hazel St, Pine Bluff, AR 71603. The listed phone number is (870) 535-1155.

What is Hazel Street Nursing Association's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Hazel Street Nursing Association was last updated on July 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.