NPI: 1629066808 · PINE BLUFF, AR 71603 · Assisted Living Facility · NPI assigned 10/11/2005
| Authorized Official | SHEPARD, MICHAEL (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 10/11/2005 |
Other providers sharing the same authorized official: SHEPARD, MICHAEL
| Provider | City | State | Total Paid |
|---|---|---|---|
| BENTON SENIOR LIVING, LLC | MENA | AR | $3.20M |
| PEACHTREE MENA LLC | MENA | AR | $3.15M |
| OUACHITA SENIOR COMMUNITY DEVELOPMENT, LP | MENA | AR | $649K |
| WHISPERING KNOLL | PINE BLUFF | AR | $139K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $24K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T2031 | Assisted living; waiver, per diem | 59 | 12 | $24K |