Kmj Enterprises Bentonville Manor LLC
NPI 1619964160ActiveOrganization· Skilled Nursing Facility· Bentonville, AR
Skilled Nursing Facility in Bentonville, Arkansas, registered in NPPES in September 2005, part of Kmj Management. The authorized official on file is Patricia Miller, President/Ceo.
Overview
| NPI | 1619964160 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Kmj Management |
| NPI issued | Sep 30, 2005 |
| Last updated in NPPES | Jun 10, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | 712 | AR |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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