S Arkansas Avenue Operating LLC
NPI 1023801628ActiveOrganization· Skilled Nursing Facility· Dierks, AR
Skilled Nursing Facility in Dierks, Arkansas, registered in NPPES in May 2025. The authorized official on file is Israel Ganz, Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1023801628 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2025 |
| Last updated in NPPES | May 27, 2025 |
| Certified by provider | May 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (AR) |
|---|
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