College Avenue Operating LLC
NPI 1780385120 · Skilled Nursing Facility · Conway, AR
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
College Avenue Operating LLC is a Skilled Nursing Facility organization in Conway, AR (NPI 1780385120).
Provider details
- NPI number
- 1780385120
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Yisroel Ganz, Director(732) 366-5705
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
3 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
Registry dates
- Enumerated
- 2023-03-13
- Last updated
- 2024-01-25
- Certified
- 2024-01-25
Frequently asked questions
- What is College Avenue Operating LLC's NPI number?
- College Avenue Operating LLC's National Provider Identifier (NPI) is 1780385120, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Avenue Operating LLC?
- College Avenue Operating LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is College Avenue Operating LLC located?
- College Avenue Operating LLC's practice location on file with NPPES is 3501 College Ave, Conway, AR 72034-7281.
- What is College Avenue Operating LLC's phone number?
- The practice phone number listed in the NPPES registry for College Avenue Operating LLC is (501) 329-9879.
- Does College Avenue Operating LLC accept Medicare?
- College Avenue Operating 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 College Avenue Operating LLC?
- The authorized official listed on College Avenue Operating LLC's NPPES record is Yisroel Ganz, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Avenue Operating LLC's NPI active?
- Yes — College Avenue Operating LLC's NPI (1780385120) is active in the NPPES registry as of the last update on 2024-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.