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Jskmf, LLC

Skilled Nursing Facility in Lake Village, AR. Organization (NPI-2).

NPI number1922677129
StatusActive
Last updated in NPPESJun 22, 2021

Details

NPI
1922677129
Entity type
Organization (NPI-2)
Legal business name
Jskmf, LLC
Organization subpart
No
Enumeration date
Jun 22, 2021
Certification date
Jun 22, 2021
Last updated
Jun 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Lake Village Rehabilitation And Care Center (Doing Business As)

Practice location

903 Borgognoni Dr
Lake Village, AR 71653-1623

Phone 870-265-5337

Mailing address

903 Borgognoni Dr
Lake Village, AR 71653-1623

Phone 870-265-5337

Authorized official

John Shannon Fleming
Sole Mbr
5018353988

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Skilled Nursing Facility providers in Lake Village, AR

All 5 Skilled Nursing Facility providers in Lake Village · All 207 providers in Lake Village

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