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Acc 1, LLC

NPI 1821085499ActiveOrganization· Skilled Nursing Facility· Pine Bluff, AR

Skilled Nursing Facility in Pine Bluff, Arkansas, registered in NPPES in September 2005. The authorized official on file is Kyle Mark Deshotels, Managing/Member.

Overview

NPI1821085499
StatusActive
Entity typeOrganization
NPI issuedSep 29, 2005
Last updated in NPPESMar 30, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

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

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Skilled Nursing Facility providers in Pine Bluff

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