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South Dixieland Road Operating LLC

NPI 1144805003ActiveOrganization· Skilled Nursing Facility· Rogers, AR

Skilled Nursing Facility in Rogers, Arkansas, registered in NPPES in March 2021. The authorized official on file is Yisroel Ganz, Incorporator. Enrolled in Medicare as part a provider - skilled nursing facility.

Overview

NPI1144805003
StatusActive
Entity typeOrganization
NPI issuedMar 12, 2021
Last updated in NPPESAug 24, 2026
Certified by providerAug 24, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part A Provider - Skilled Nursing Facility (AR)

Medicare sources and data years

Other skilled nursing facilities in Rogers

All 22 skilled nursing facilities in Rogers · All skilled nursing facilities in Arkansas