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ARKANSAS STATE VETERANS HOME AT FAYETTEVILLE
NPI 1417052895
Skilled Nursing Facility in Fayetteville, AR

Active since September 13, 2006CLIA 04D2095155 · Waiver
1/5
Overall Rating
1179 N. COLLEGE AVE., FAYETTEVILLE, AR 72703(479) 444-7001(479) 695-0184 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 17, 2024, Nov 21, 2018 (2 updates tracked since 2018).

About Arkansas State Veterans Home At Fayetteville NPPES

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

ARKANSAS STATE VETERANS HOME AT FAYETTEVILLE (NPI 1417052895), doing business as Arkansas Veterans Home At Fayetteville, is a healthcare organization registered as a skilled nursing facility in Fayetteville, Arkansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Phillip Cappiello, Administrator, as its authorized official.

NPPES Registry Identity

NPI1417052895
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSTATE OF ARKANSAS
Location Address1179 N. COLLEGE AVE.Fayetteville, AR 72703-1955
Mailing Address1179 N. College Ave.Fayetteville, AR 72703-1955 · (479) 444-7001 · Fax (479) 695-0184
Phone(479) 444-7001
Fax(479) 695-0184
Organization SubpartNo
Authorized OfficialPhillip CappielloAdministrator · (479) 444-7001
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 17, 20242 updates tracked since enumeration
✔ NPI 1417052895 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 · 803
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.
1179 N. COLLEGE AVE., Fayetteville, AR 72703
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Other Names 2

Other NameArkansas State Veterans Home At Fayetteville
Doing Business AsArkansas Veterans Home At Fayetteville

Other Identifiers 1

Medicaid160958311AR

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 04D2095155

Arkansas Veterans Home At Fayetteville · Fayetteville, AR
Active · expires Apr 30, 2027
CLIA Number04D2095155
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorMr. Phillip Cappiello
Laboratory Phone(479) 444-7001
Laboratory LocationArkansas Veterans Home At Fayetteville1179 N College Ave, Fayetteville, AR 72703
CLIA data matches this NPI record on: Address 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 Arkansas Veterans Home At Fayetteville (CMS certification number 045417), from CMS Care Compare.

Arkansas Veterans Home At Fayetteville

Nursing home · Fayetteville, AR
1/5 CMS Overall Rating
OwnershipGovernment - State
CMS Certification Number045417
Certified Beds90 beds47 residents per day on average
Medicare & Medicaid Participant SinceMarch 1, 2007
Resident & Family CouncilResident and family councils
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.
139.83
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 4.44 · LPN 1.97 · RN 0.8
7.22 hrs per resident per day
Weekend Nurse Staffing
5.86 hrs per resident per day
Physical Therapist Staffing
0.05 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
54.3%
Registered Nurse Turnover
50%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
1
Infection-Control Citations
0
Fines
1 totaling $27,459.25
Medicare Payment Denials
1
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 State Of Arkansas's NPI number?

The NPI number for State Of Arkansas is 1417052895. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Arkansas Veterans Home at Fayetteville. The provider is also known as Arkansas State Veterans Home At Fayetteville.

Where is State Of Arkansas located?

State Of Arkansas is located at 1179 N. College Ave., Fayetteville, AR 72703. The listed phone number is (479) 444-7001.

What is State Of Arkansas's specialty?

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

Does State Of Arkansas hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2095155) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is State Of Arkansas a Medicare-certified nursing home?

Yes. Arkansas Veterans Home At Fayetteville is a Medicare-certified nursing home with 90 certified beds.

What quality rating does State Of Arkansas have?

CMS rates Arkansas Veterans Home At Fayetteville 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for State Of Arkansas was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.