College Avenue Operating LLC
NPI 1780385120ActiveOrganization· Skilled Nursing Facility· Conway, AR
Skilled Nursing Facility in Conway, Arkansas, registered in NPPES in March 2023. The authorized official on file is Yisroel Ganz, Director. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1780385120 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 13, 2023 |
| Last updated in NPPES | Aug 24, 2026 |
| Certified by provider | Aug 24, 2026 |
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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