Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

State of Arkansas

Organization Skilled Nursing Facility · NPI 1417052895

State of Arkansas is a Skilled Nursing Facility in Fayetteville, Arkansas. Licensed in Arkansas. Registered with an NPI since 2006.

Licensed in
AR
In the registry since
2006

Practice location Address checks out

1179 N College Ave
Fayetteville, AR 72703-1955
Phone: (479) 444-7001
Fax: (479) 695-0184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 803 (AR)

Record details

NPI number1417052895
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Cappiello — Administrator · (479) 444-7001
Other names Arkansas Veterans Home At Fayetteville; Arkansas State Veterans Home At Fayetteville; Arkansas State Veterans Home At Fayetteville
NPI enumeratedSeptember 13, 2006
Last updated in NPPESMay 17, 2024
Mailing address1179 N. College Ave., Fayetteville, AR 72703-1955

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Fayetteville