Jefferson Hospital Association Inc is a Skilled Nursing Facility based in Pine Bluff, AR. Jefferson Hospital Association Inc practices in Pine Bluff, AR. The NPI Number for Jefferson Hospital Association Inc is 1710931985 and holds a License No. (Arkansas).
The current practice location address for Jefferson Hospital Association Inc is 1600 W. 40Th Avenue, Pine Bluff, AR and can be reached out via phone at 870-541-7100 and via fax at 870-541-7964.
Location: 1600 W. 40Th Avenue, Pine Bluff, AR, 71603-6301
Provider Profile Details
NPI Number
1710931985
Provider Name
Jefferson Hospital Association Inc
Credential
Provider Entity Type
Organization
Address
1600 W. 40Th Avenue, Pine Bluff, AR, 71603-6301
Phone Number
870-541-7100
Fax Number
870-541-7964
Provider Enumeration Date
05/20/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040071 | 01 | AR | MEDICARE PART A |
| 103078002 | 05 | AR | |
| 5000023 | 01 | AR | UNITED HEALTHCARE |
| 045307 | 01 | AR | MEDICARE PART A |
| 04S071 | 01 | AR | MEDICARE PART A |
| 10071 | 01 | AR | BLUE CROSS PROVIDER # |
| 102916105 | 05 | AR | |
| 15307 | 01 | AR | BLUE CROSS SNF PROVIDER # |
Provider Business Practice Location Address Details
Address
1600 W. 40Th Avenue
City
State
Zip
71603-6301
Phone Number
870-541-7100
Fax Number
870-541-7964
Provider Business Mailing Address Details
Address
1600 W. 40Th Avenue
City
State
Zip
71603-6301
Phone Number
870-541-7100
Fax Number
870-541-7964
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Psychiatric Unit
Speciality
-
Taxonomy
License No.
()
Definition
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Provider's Taxonomy Details 2
Type
Hospital Units
Classification
Rehabilitation Unit
Speciality
-
Taxonomy
License No.
AR4213 (Arkansas)
Definition
In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient's condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient's medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services.
Provider's Taxonomy Details 3
Type
Hospitals
Classification
General Acute Care Hospital
Speciality
-
Taxonomy
License No.
()
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
Provider's Taxonomy Details 4
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
()
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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