GOSNELL HEALTHCARE,INC.
NPI 1164475372
Skilled Nursing Facility in Gosnell, AR

Active since May 18, 2006CLIA 04D1000892 · Waiver
700 MOODY ST, GOSNELL, AR 72315(870) 532-5550(870) 532-5600 Get Directions Write a Review

NPPES record last updated: July 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gosnell Healthcare,inc. NPPES

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

GOSNELL HEALTHCARE,INC. (NPI 1164475372) is a healthcare organization registered as a skilled nursing facility in Gosnell, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 23, 2027 and lists Rick Sampson, Secretary, as its authorized official.

NPPES Registry Identity

NPI1164475372
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameGOSNELL HEALTHCARE,INC.
Location Address700 MOODY STGosnell, AR 72315-6110
Mailing AddressPo Box 310Newport, AR 72112-0310 · (870) 523-4333 · Fax (870) 523-4341
Fax(870) 532-5600
Organization SubpartNo
Authorized OfficialRick SampsonSecretary · (870) 523-4333
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 20, 2007
NPI 1164475372 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 · 684
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.
700 MOODY ST, Gosnell, AR 72315

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 04D1000892

Gosnell Health And Rehab · Gosnell, AR
Active · expires Mar 23, 2027
CLIA Number04D1000892
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 24, 2025
Certificate Expiration DateMarch 23, 2027
Laboratory DirectorAmy Botha
Laboratory Phone(870) 532-5550
Laboratory LocationGosnell Health And Rehab700 Moody Street, Gosnell, AR 72319
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
700 MOODY ST
GOSNELL, AR 72315
Skilled Nursing Facility
700 MOODY ST
GOSNELL, AR 72315

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 Gosnell Healthcare,inc.'s NPI number?

The NPI number for Gosnell Healthcare,inc. is 1164475372. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Gosnell Healthcare,inc. located?

Gosnell Healthcare,inc. is located at 700 Moody St, Gosnell, AR 72315. The listed phone number is (870) 532-5550.

What is Gosnell Healthcare,inc.'s specialty?

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

Does Gosnell Healthcare,inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1000892) is associated with this NPI, valid through March 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gosnell Healthcare,inc. was last updated on July 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.