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COMMUNITY LIFE SERVICES INC. NPI 1447395439


NPI Information

NPI: 1447395439
Provider Name: COMMUNITY LIFE SERVICES, INC.
Classification: Intermediate Care Facility, Mentally Retarded - 315P00000X
Entity Type: Organization

CLIA Number: 04D0915050

Address:
1509 MICHAEL DR
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 223-9015
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COMMUNITY LIFE SERVICES, INC. is an intermediate care facility mentally retarded in Little Rock, AR. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. COMMUNITY LIFE SERVICES, INC. NPI is 1447395439. The provider is registered as an organization entity type.

The provider's business location address is:

1509 MICHAEL DR
LITTLE ROCK, AR
ZIP 72204-336
Phone: (501) 223-9015
Fax: (501) 666-2113

The provider's authorized official is Jim Hinson .
The authorized official title is Chief Financial Officer and has the following contact phone number (501) 666-0246.

The CLIA number assigned to this NPI record is 04D0915050 - intermediate care facility/individuals with intellectual disability with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Mentally RetardedARKANSASYes
2313M00000XNursing Facility/Intermediate Care FacilityARKANSASX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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