Kmj Enterprises Bentonville Manor LLC
NPI 1619964160 · Skilled Nursing Facility · Bentonville, AR
Kmj Enterprises Bentonville Manor LLC is a Skilled Nursing Facility organization in Bentonville, AR (NPI 1619964160).
Provider details
- NPI number
- 1619964160
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Kmj Management
- Organization subpart
- Yes
- Authorized official
- Patricia Miller, President/Ceo(479) 636-5716
- License
- 712 (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
- Bentonville Manor Nursing Home
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2008-06-10
Frequently asked questions
- What is Kmj Enterprises Bentonville Manor LLC's NPI number?
- Kmj Enterprises Bentonville Manor LLC's National Provider Identifier (NPI) is 1619964160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kmj Enterprises Bentonville Manor LLC?
- Kmj Enterprises Bentonville Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Kmj Enterprises Bentonville Manor LLC located?
- Kmj Enterprises Bentonville Manor LLC's practice location on file with NPPES is 224 S Main St, Bentonville, AR 72712-5963.
- What is Kmj Enterprises Bentonville Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Kmj Enterprises Bentonville Manor LLC is (479) 273-3373.
- Who is the authorized official for Kmj Enterprises Bentonville Manor LLC?
- The authorized official listed on Kmj Enterprises Bentonville Manor LLC's NPPES record is Patricia Miller, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kmj Enterprises Bentonville Manor LLC's NPI active?
- Yes — Kmj Enterprises Bentonville Manor LLC's NPI (1619964160) is active in the NPPES registry as of the last update on 2008-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.