Hazel Street Nursing Association
Hazel Street Nursing Association is a healthcare organization registered as Skilled Nursing Facility in Pine Bluff, AR, holding Type 2 (organization) NPI 1104814383 since 2005. The authorized official on file is Michael Shepard, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104814383 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Hazel Street Nursing Association |
| Other name | <Unavail> |
| Practice address | 6811 S HAZEL ST, Pine Bluff, AR, 71603 |
| Phone | 8705351155 |
| Fax | 8705350732 |
| Enumeration date | 2005-10-11 |
| Last updated in NPPES | 2013-07-12 |
Authorized official
| Name | Michael Shepard |
|---|---|
| Title | Executive Director |
| Phone | 8705410342 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 725 | AR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119733311 | Medicaid | AR | — |
Copy-ready billing details
Provider: Hazel Street Nursing Association NPI: 1104814383 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 6811 S HAZEL ST, Pine Bluff, AR, 71603
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700357118 | The Villages of General Baptist Health Care East | Organization | Skilled Nursing Facility | Pine Bluff, AR |
Verify this record
Cross-check NPI 1104814383 against the authoritative CMS record: view Hazel Street Nursing Association on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Hazel Street Nursing Association located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-07-12.