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LEGACY LODGE NURSING HOME
NPI 1699765958
Nursing Facility/Intermediate Care Facility in Russellville, AR

Active since October 26, 2005
900 W 12TH ST, RUSSELLVILLE, AR 72801(479) 968-5858(479) 890-6013 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Lodge Nursing Home NPPES

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

LEGACY LODGE NURSING HOME (NPI 1699765958) is a healthcare organization registered as a nursing facility/intermediate care facility in Russellville, Arkansas and active in the NPI registry since October 2005. The organization lists Rebecca Brashear, Administrator, as its authorized official.

NPPES Registry Identity

NPI1699765958
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameROSE & WELLS, INC.
Location Address900 W 12TH STRussellville, AR 72801-6606
Mailing Address900 W 12th StRussellville, AR 72801-6606 · (479) 968-5858 · Fax (479) 890-6013
Phone(479) 968-5858
Fax(479) 890-6013
Organization SubpartNo
Authorized OfficialRebecca BrashearAdministrator · (479) 968-5858
Enumeration DateOctober 26, 2005
Last NPPES UpdateNovember 29, 2007
✔ NPI 1699765958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in AR · 037
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
900 W 12TH ST, Russellville, AR 72801
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Other Names 1

Doing Business AsLegacy Lodge Nursing Home

Other Identifiers 1

Medicare OSCAR/certification045410AR

Other Providers at the Same Location NPPES

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

LEGACY HEIGHTS NURSING AND REHAB, LLC
Skilled Nursing Facility
900 W 12TH ST
RUSSELLVILLE, AR 72801
Pope County (479) 968-5858

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 Rose & Wells, Inc.'s NPI number?

The NPI number for Rose & Wells, Inc. is 1699765958. It was assigned to this organization in the NPPES registry on October 26, 2005. The provider is doing business as Legacy Lodge Nursing Home.

Where is Rose & Wells, Inc. located?

Rose & Wells, Inc. is located at 900 W 12th St, Russellville, AR 72801. The listed phone number is (479) 968-5858.

What is Rose & Wells, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Rose & Wells, Inc. was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.