1. Home
  2. Directory
  3. Arkansas
  4. Mount Ida
  5. Skilled Nursing Facility
  6. NPI Profile

MONTGOMERY COUNTY NURSING HOME
NPI 1487667655
Skilled Nursing Facility in Mount Ida, AR

Active since August 15, 2006CLIA 04D0883592 · Waiver
741 S DR, MOUNT IDA, AR 71957(870) 867-2156(870) 867-2049 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montgomery County Nursing Home NPPES

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

MONTGOMERY COUNTY NURSING HOME (NPI 1487667655) is a healthcare organization registered as a skilled nursing facility in Mount Ida, Arkansas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 10, 2028 and lists Bryan Fredrick Wann, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487667655
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMONTGOMERY COUNTY NURSING HOME
Location Address741 S DRMount Ida, AR 71957-1208
Mailing AddressPo Box 1208Mount Ida, AR 71957-1208 · (870) 867-2156 · Fax (870) 867-2049
Phone(870) 867-2156
Fax(870) 867-2049
Organization SubpartNo
Authorized OfficialBryan Fredrick WannAdministrator · (870) 867-2156
Enumeration DateAugust 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1487667655 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 · 198
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.
741 S DR, Mount Ida, AR 71957
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

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 04D0883592

Montgomery County Nursing Home · Mount Ida, AR
Active · expires Mar 10, 2028
CLIA Number04D0883592
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorTammy Elder
Laboratory Phone(870) 867-2156
Laboratory LocationMontgomery County Nursing Home741 South Drive, Mount Ida, AR 71957
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 Montgomery County Nursing Home's NPI number?

The NPI number for Montgomery County Nursing Home is 1487667655. It was assigned to this organization in the NPPES registry on August 15, 2006.

Where is Montgomery County Nursing Home located?

Montgomery County Nursing Home is located at 741 S Dr, Mount Ida, AR 71957. The listed phone number is (870) 867-2156.

What is Montgomery County Nursing Home's specialty?

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

Does Montgomery County Nursing Home hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0883592) is associated with this NPI, valid through March 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montgomery County Nursing Home accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Montgomery County Nursing Home as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montgomery County Nursing Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.