ARKANSAS CONVALESCENT CENTER
NPI 1821085499
Skilled Nursing Facility in Pine Bluff, AR

Active since September 29, 2005
6301 S HAZEL ST, PINE BLUFF, AR 71603(870) 534-8153(870) 534-6073 Get Directions Write a Review

NPPES record last updated: March 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Arkansas Convalescent Center NPPES

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

ARKANSAS CONVALESCENT CENTER (NPI 1821085499) is a healthcare organization registered as a skilled nursing facility in Pine Bluff, Arkansas and active in the NPI registry since September 2005. The organization lists Kyle Mark Deshotels, Managing/member, as its authorized official.

NPPES Registry Identity

NPI1821085499
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameACC 1, LLC
Location Address6301 S HAZEL STPine Bluff, AR 71603-7818
Mailing Address6301 S Hazel StPine Bluff, AR 71603-7818 · (870) 534-8153 · Fax (870) 534-6073
Fax(870) 534-6073
Organization SubpartNo
Authorized OfficialKyle Mark DeshotelsManaging/member · (870) 733-1255
Enumeration DateSeptember 29, 2005
Last NPPES UpdateMarch 30, 2012
NPI 1821085499 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.
6301 S HAZEL ST, Pine Bluff, AR 71603

Other Names 1

Doing Business AsArkansas Convalescent Center

Other Identifiers 3

Medicare OSCAR/certification045277AR
Other15527AR · Blue Cross/blue Shield
Medicaid119683311AR

Other Providers at the Same Location NPPES 2

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

Physical Therapy Assistant
6301 S HAZEL ST
PINE BLUFF, AR 71603
Skilled Nursing Facility
6301 S HAZEL ST
PINE BLUFF, AR 71603

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 Acc 1, LLC's NPI number?

The NPI number for Acc 1, LLC is 1821085499. It was assigned to this organization in the NPPES registry on September 29, 2005. The provider is doing business as Arkansas Convalescent Center.

Where is Acc 1, LLC located?

Acc 1, LLC is located at 6301 S Hazel St, Pine Bluff, AR 71603. The listed phone number is (870) 534-8153.

What is Acc 1, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Acc 1, LLC was last updated on March 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.