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PRAIRIE GROVE HEALTH AND REHABILITATION LLC
NPI 1588833974
Skilled Nursing Facility in Prairie Grove, AR

Active since February 29, 2008CLIA 04D0670714 · Waiver
3/5
Overall Rating
621 S MOCK ST, PRAIRIE GROVE, AR 72753(479) 846-2169 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Grove Health And Rehabilitation Llc NPPES

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

PRAIRIE GROVE HEALTH AND REHABILITATION LLC (NPI 1588833974) is a healthcare organization registered as a skilled nursing facility in Prairie Grove, Arkansas and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Andrew Rye, Vice President, as its authorized official.

NPPES Registry Identity

NPI1588833974
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePRAIRIE GROVE HEALTH AND REHABILITATION LLC
Location Address621 S MOCK STPrairie Grove, AR 72753-3146
Mailing Address8520 S 36th TerFort Smith, AR 72908-8880 · (479) 410-1740
Phone(479) 846-2169
Organization SubpartNo
Authorized OfficialRobert Andrew RyeVice President · (479) 410-1740
Enumeration DateFebruary 29, 2008
Last NPPES UpdateMarch 13, 2025
NPPES CertifiedMarch 13, 2025
✔ NPI 1588833974 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 · 853
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.
621 S MOCK ST, Prairie Grove, AR 72753
Open in Google Maps ↗

Other Identifiers 1

Medicaid166574311AR

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 04D0670714

Prairie Grove Health And Rehabilitation · Prairie Grove, AR
Active · expires Aug 31, 2026
CLIA Number04D0670714
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. John T. Smiley
Laboratory Phone(479) 846-2169
Laboratory LocationPrairie Grove Health And Rehabilitation621 S Mock, Prairie Grove, AR 72753
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 Prairie Grove Health And Rehabilitation, LLC (CMS certification number 045409), from CMS Care Compare.

Prairie Grove Health And Rehabilitation, LLC

Nursing home · Prairie Grove, AR
3/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number045409
Certified Beds70 beds58 residents per day on average
Medicare & Medicaid Participant SinceJanuary 11, 2006
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
3/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
37.33
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 2.39 · LPN 1.38 · RN 0.18
3.95 hrs per resident per day
Weekend Nurse Staffing
3.61 hrs per resident per day
Physical Therapist Staffing
0.09 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
53.8%
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
1
Fines
1 totaling $7,445.75
Medicare Payment Denials
0
Total Penalties
1
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 3

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

DR. JAMES DUNN D.O.
Family Medicine
621 S MOCK ST
PRAIRIE GROVE, AR 72753
Washington County (479) 422-7212
DR JAMES DUNN PLLC
Family Medicine
621 S MOCK ST
PRAIRIE GROVE, AR 72753
Washington County (479) 422-7212
SEQUOYAH RESIDENTIAL FACILITY, INC.
Nursing Facility/Intermediate Care Facility
621 S MOCK ST
PRAIRIE GROVE, AR 72753
Washington County (479) 846-2169

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 Prairie Grove Health And Rehabilitation LLC's NPI number?

The NPI number for Prairie Grove Health And Rehabilitation LLC is 1588833974. It was assigned to this organization in the NPPES registry on February 29, 2008.

Where is Prairie Grove Health And Rehabilitation LLC located?

Prairie Grove Health And Rehabilitation LLC is located at 621 S Mock St, Prairie Grove, AR 72753. The listed phone number is (479) 846-2169.

What is Prairie Grove Health And Rehabilitation LLC's specialty?

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

Does Prairie Grove Health And Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0670714) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Prairie Grove Health And Rehabilitation LLC a Medicare-certified nursing home?

Yes. Prairie Grove Health And Rehabilitation, LLC is a Medicare-certified nursing home with 70 certified beds.

What quality rating does Prairie Grove Health And Rehabilitation LLC have?

CMS rates Prairie Grove Health And Rehabilitation, LLC 3 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 Prairie Grove Health And Rehabilitation LLC was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.