FAYETTEVILLE HEALTH & REHABILITATION CENTER
NPI 1962457325
Skilled Nursing Facility in Fayetteville, AR

Active since May 24, 2006CLIA 04D0670695 · Waiver
1/5
Overall Rating
3100 N OLD MO RD, FAYETTEVILLE, AR 72703(479) 521-4353 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fayetteville Health & Rehabilitation Center NPPES

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

FAYETTEVILLE HEALTH & REHABILITATION CENTER (NPI 1962457325) is a healthcare organization registered as a skilled nursing facility in Fayetteville, Arkansas and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Phillip Cody Long, Cfo, as its authorized official.

NPPES Registry Identity

NPI1962457325
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameNORTHPORT HEALTH SERVICES OF ARKANSAS, LLC
Location Address3100 N OLD MO RDFayetteville, AR 72703-4415
Mailing Address3100 N Old Mo RdFayetteville, AR 72703-4415 · (479) 521-4353
Organization SubpartNo
Authorized OfficialPhillip Cody LongCfo · (205) 391-3600
Enumeration DateMay 24, 2006
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
NPI 1962457325 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 · 592
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.
3100 N OLD MO RD, Fayetteville, AR 72703

Other Names 1

Doing Business AsFayetteville Health & Rehabilitation Center

Other Identifiers 1

Medicaid119590311AR

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 04D0670695

Fayetteville Health And Rehab Center · Fayetteville, AR
Active · expires Aug 31, 2026
CLIA Number04D0670695
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorSarah Mitchell
Laboratory Phone(479) 521-4353
Laboratory LocationFayetteville Health And Rehab Center3100 North Old Missouri Road, Fayetteville, AR 72703
CLIA data matches this NPI record on: 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 Fayetteville Health And Rehabilitation Center (CMS certification number 045220), from CMS Care Compare.

Fayetteville Health And Rehabilitation Center

Nursing home · Fayetteville, AR
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number045220
Certified Beds99 beds108 residents per day on average
Medicare & Medicaid Participant SinceDecember 1, 1993
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
98
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 2.83 · LPN 0.57 · RN 0.22
3.62 hrs per resident per day
Weekend Nurse Staffing
2.95 hrs per resident per day
Physical Therapist Staffing
0.06 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60.6%
Registered Nurse Turnover
50%
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
0
Substantiated Complaints
4
Infection-Control Citations
2
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Northport Health Services Of Arkansas, LLC's NPI number?

The NPI number for Northport Health Services Of Arkansas, LLC is 1962457325. It was assigned to this organization in the NPPES registry on May 24, 2006. The provider is doing business as Fayetteville Health & Rehabilitation Center.

Where is Northport Health Services Of Arkansas, LLC located?

Northport Health Services Of Arkansas, LLC is located at 3100 N Old Mo Rd, Fayetteville, AR 72703. The listed phone number is (479) 521-4353.

What is Northport Health Services Of Arkansas, LLC's specialty?

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

Does Northport Health Services Of Arkansas, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D0670695) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Northport Health Services Of Arkansas, LLC a Medicare-certified nursing home?

Yes. Fayetteville Health And Rehabilitation Center is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Northport Health Services Of Arkansas, LLC have?

CMS rates Fayetteville Health And Rehabilitation Center 1 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 Northport Health Services Of Arkansas, LLC was last updated on October 26, 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.