Southern Pines Health Opco LLC
NPI 1215676903 · Skilled Nursing Facility · Prescott, AR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Pines Health Opco LLC is a Skilled Nursing Facility organization in Prescott, AR (NPI 1215676903).
Provider details
- NPI number
- 1215676903
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ethan Dreifus, Authorized Signatory(501) 961-8100
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
4 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
- Southern Pines Health and Rehab
- Doing business as
- Southern Pines Health and Rehab
Registry dates
- Enumerated
- 2022-06-01
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Southern Pines Health Opco LLC's NPI number?
- Southern Pines Health Opco LLC's National Provider Identifier (NPI) is 1215676903, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Pines Health Opco LLC?
- Southern Pines Health Opco LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Southern Pines Health Opco LLC located?
- Southern Pines Health Opco LLC's practice location on file with NPPES is 700 Manor Rd, Prescott, AR 71857-2800.
- What is Southern Pines Health Opco LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Pines Health Opco LLC is (870) 455-1086.
- Does Southern Pines Health Opco LLC accept Medicare?
- Southern Pines Health Opco LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Pines Health Opco LLC?
- The authorized official listed on Southern Pines Health Opco LLC's NPPES record is Ethan Dreifus, Authorized Signatory. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Pines Health Opco LLC's NPI active?
- Yes — Southern Pines Health Opco LLC's NPI (1215676903) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.