WHITE RIVER HEALTHCARE LLC
NPI 1104872522
Skilled Nursing Facility in Newport, AR

Q: What is White River Healthcare LLC's NPI number?

The NPI number for White River Healthcare LLC is 1104872522. It was assigned to this organization in the NPPES registry on May 26, 2006.

Q: What is White River Healthcare LLC's specialty?

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

Q: What quality rating does White River Healthcare LLC have?

CMS rates White River Healthcare 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since May 26, 2006CLIA 04D1024460 · Waiver

4/5

Overall Rating

1005 MCLAIN ST, NEWPORT, AR 72112(870) 523-4333(870) 523-4341 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About White River Healthcare Llc NPPES

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

WHITE RIVER HEALTHCARE LLC (NPI 1104872522) is a healthcare organization registered as a skilled nursing facility in Newport, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 25, 2027 and lists Rick D Sampson, Agent, as its authorized official.

NPPES Registry Identity

NPI1104872522

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NameWHITE RIVER HEALTHCARE LLC

Location Address1005 MCLAIN STNewport, AR 72112-3529

Mailing Address601 Calico StreetCalico Rock, AR 72519 · (870) 297-3719 · Fax (870) 297-3732

Phone(870) 523-4333

Fax(870) 523-4341

Organization SubpartNo

Authorized OfficialRick D SampsonAgent · (870) 523-4333

Enumeration DateMay 26, 2006

Last NPPES UpdateApril 10, 2008

✔ NPI 1104872522 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 · 737

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.

1005 MCLAIN ST, Newport, AR 72112

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Other Identifiers 1

Medicare ID-Type Unspecified045401AR · Medicare Provider Number

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 04D1024460

White River Healthcare · Calico Rock, AR

Active · expires Sep 25, 2027

CLIA Number04D1024460

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 26, 2025

Certificate Expiration DateSeptember 25, 2027

Laboratory DirectorAmanda G. Hickman

Laboratory Phone(870) 297-3719

Laboratory LocationWhite River Healthcare1569 Ar Hwy 56, Calico Rock, AR 72519

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for White River Healthcare (CMS certification number 045401), from CMS Care Compare.

White River Healthcare

Nursing home · Calico Rock, AR

4/5 CMS Overall Rating

OwnershipFor profit - Corporation

CMS Certification Number045401

Certified Beds70 beds43 residents per day on average

Medicare & Medicaid Participant SinceJuly 20, 2004

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

3/5

Long-Stay Quality

Quality of care delivered to long-term residents.

3/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 0 · LPN 0.32 · RN 4.21

4.53 hrs per resident per day

Weekend Nurse Staffing

4.04 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 9

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

OSCEOLA HEALTHCARE, LLP

Skilled Nursing Facility