INDIAN ROCK HEALTHCARE LLC NPI 1942043831

NPI Information

  • NPI: 1942043831
  • Provider Name: INDIAN ROCK HEALTHCARE LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 265 DAVE CREEK PKWY
    FAIRFIELD BAY, AR
    ZIP 72088
  • Phone: (501) 884-3210

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NPI Details

INDIAN ROCK HEALTHCARE LLC is an assisted living facility in Fairfield Bay, 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. INDIAN ROCK HEALTHCARE LLC NPI is 1942043831. The provider is registered as an organization entity type.

The provider's business location address is:

265 DAVE CREEK PKWY
FAIRFIELD BAY, AR
ZIP 72088-106
Phone: (501) 884-3210

The provider's authorized official is Jacob Taub .
The authorized official title is Member and has the following contact phone number (917) 703-3274.

The enumeration date for this NPI number is 6/17/2024 and was last updated on 6/17/2024.

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

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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