TEXARKANA AR OPCO LLC
NPI 1649972704
Skilled Nursing Facility in Texarkana, AR

Active since March 21, 2023CLIA 04D2049884 · Waiver
2107 DUDLEY ST, TEXARKANA, AR 71854(870) 772-4426 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Texarkana Ar Opco Llc NPPES

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

TEXARKANA AR OPCO LLC (NPI 1649972704), doing business as The Springs Of Texarkana, is a healthcare organization registered as a skilled nursing facility in Texarkana, Arkansas and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through November 14, 2026 and lists Chaim Hertzberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1649972704
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameTEXARKANA AR OPCO LLC
Location Address2107 DUDLEY STTexarkana, AR 71854-6345
Mailing Address150 Oberlin Ave N Ste 6Lakewood, NJ 08701-4535 · (732) 800-6005
Organization SubpartNo
Authorized OfficialChaim HertzbergCeo · (347) 752-0095
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1649972704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

2107 DUDLEY ST, Texarkana, AR 71854

Other Names 1

Doing Business AsThe Springs Of Texarkana

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
04D2049884
Facility Type
Federally Qualified Health Center
Certificate Effective Date
November 15, 2024
Certificate Expiration Date
November 14, 2026
Laboratory Director
DR. KRISTINE M. PRUITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Texarkana Ar Opco Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Skilled Nursing Facility
2107 DUDLEY ST
TEXARKANA, AR 71854
Occupational Therapist
2107 DUDLEY ST
TEXARKANA, AR 71854
Occupational Therapy Assistant
2107 DUDLEY ST
TEXARKANA, AR 71854
Speech-Language Pathologist
2107 DUDLEY ST
TEXARKANA, AR 71854

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649972704, enumerated as an "organization" on March 21, 2023.

The provider is located at 2107 DUDLEY ST TEXARKANA, AR 71854 and the phone number is (870) 772-4426.

Skilled Nursing Facility with taxonomy code 314000000X.