Organization · Type 2 NPI

College Avenue Operating LLC

Skilled Nursing Facility · Conway, AR

NPI number 1780385120 Active

Practice location

3501 College Ave
Conway, AR 72034-7281

Mailing address

1999 Cedarbridge Ave Ste 3B
Lakewood, NJ 08701-7048

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000XNone listed

Skilled Nursing Facility: (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 r…

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About NPI 1780385120

College Avenue Operating LLC's National Provider Identifier is 1780385120, issued on Mar 13, 2023. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Conway, AR. The record was last updated on Aug 24, 2026.