S ARKANSAS AVENUE OPERATING LLC – NPI #1023801628
Skilled Nursing Facility

(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.

S ARKANSAS AVENUE OPERATING LLC is a skilled nursing facility (SNF) located in DIERKS, AR. NPPES has assigned the NPI number 1023801628 to S ARKANSAS AVENUE OPERATING LLC on May 27, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 314000000X from the Health Care Provider Taxonomy code set, which is classified as Skilled Nursing Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for S ARKANSAS AVENUE OPERATING LLC below.

NPI Profile for
S ARKANSAS AVENUE OPERATING LLC

NPI Number
1023801628
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
S ARKANSAS AVENUE OPERATING LLC
Primary location
402 S ARKANSAS AVE
DIERKS, AR 71833-9001
Phone: (870) 286-3100 Fax:
Mailing address
1999 CEDARBRIDGE AVE STE 3B
LAKEWOOD, NJ 08701-7048
Phone: (732) 366-5705 Fax:
Organization Subpart
No
Authorized Official
ISRAEL GANZ
DIRECTOR
Phone: (732) 366-5705
Updated
Certification Date
May 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
314000000X
- Skilled Nursing Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.