Hazel Street Nursing Association
NPI 1104814383 · Skilled Nursing Facility · Pine Bluff, AR
Hazel Street Nursing Association is a Skilled Nursing Facility organization in Pine Bluff, AR (NPI 1104814383).
Provider details
- NPI number
- 1104814383
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Michael Shepard, Executive Director(870) 541-0342
- License
- 725 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Davis East
Registry dates
- Enumerated
- 2005-10-11
- Last updated
- 2013-07-12
Frequently asked questions
- What is Hazel Street Nursing Association's NPI number?
- Hazel Street Nursing Association's National Provider Identifier (NPI) is 1104814383, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hazel Street Nursing Association?
- Hazel Street Nursing Association is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Hazel Street Nursing Association located?
- Hazel Street Nursing Association's practice location on file with NPPES is 6811 S Hazel St, Pine Bluff, AR 71603-7829.
- What is Hazel Street Nursing Association's phone number?
- The practice phone number listed in the NPPES registry for Hazel Street Nursing Association is (870) 535-1155.
- Who is the authorized official for Hazel Street Nursing Association?
- The authorized official listed on Hazel Street Nursing Association's NPPES record is Michael Shepard, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hazel Street Nursing Association's NPI active?
- Yes — Hazel Street Nursing Association's NPI (1104814383) is active in the NPPES registry as of the last update on 2013-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.