ARHC FRBRYAR01 TRS LLC NPI 1093168643

NPI Information

  • NPI: 1093168643
  • Provider Name: ARHC FRBRYAR01 TRS LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: FOX RIDGE BRYANT
  • CLIA Number: 04D2309006
  • Address: 4216 FOX RIDGE DR
    BRYANT, AR
    ZIP 72022
  • Phone: (501) 547-3400

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NPI Details

ARHC FRBRYAR01 TRS LLC is an assisted living facility in Bryant, AR. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. ARHC FRBRYAR01 TRS LLC NPI is 1093168643. The provider is registered as an organization entity type.
The provider Is Doing Business As Fox Ridge Bryant.

The provider's business location address is:

4216 FOX RIDGE DR
BRYANT, AR
ZIP 72022-308
Phone: (501) 547-3400

The provider's authorized official is Jesse Galloway .
The authorized official title is Authorized Official and has the following contact phone number (212) 415-6500.

The CLIA number assigned to this NPI record is 04D2309006 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2016 and was last updated on 7/19/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1213923794MEDICAIDARKANSAS

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: 11/21/2025

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