State of Arkansas
NPI 1417052895 · Skilled Nursing Facility · Fayetteville, AR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
State of Arkansas is a Skilled Nursing Facility organization in Fayetteville, AR (NPI 1417052895).
Provider details
- NPI number
- 1417052895
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Phillip Cappiello, Administrator(479) 444-7001
- License
- 803 (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
19 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)
- Other name
- Arkansas State Veterans Home at Fayetteville
- Other name
- Arkansas State Veterans Home at Fayetteville
- Doing business as
- Arkansas Veterans Home at Fayetteville
Registry dates
- Enumerated
- 2006-09-13
- Last updated
- 2024-05-17
Frequently asked questions
- What is State of Arkansas's NPI number?
- State of Arkansas's National Provider Identifier (NPI) is 1417052895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State of Arkansas?
- State of Arkansas is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is State of Arkansas located?
- State of Arkansas's practice location on file with NPPES is 1179 N. College Ave., Fayetteville, AR 72703-1955.
- What is State of Arkansas's phone number?
- The practice phone number listed in the NPPES registry for State of Arkansas is (479) 444-7001.
- Does State of Arkansas accept Medicare?
- State of Arkansas 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 State of Arkansas?
- The authorized official listed on State of Arkansas's NPPES record is Phillip Cappiello, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State of Arkansas's NPI active?
- Yes — State of Arkansas's NPI (1417052895) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.