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EVGUENI ROUDACHEVSKI, D.O.
NPI 1073914719
Assisted Living Facility in Little Rock, AR

Active since September 12, 2014
11912 KANIS RD STE F2, LITTLE ROCK, AR 72211(501) 227-8020(501) 227-8826 Get Directions Write a Review

NPPES record last updated: September 12, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evgueni Roudachevski, D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVGUENI ROUDACHEVSKI, D.O. (NPI 1073914719) is a healthcare organization registered as an assisted living facility in Little Rock, Arkansas and active in the NPI registry since September 2014. The organization lists Hapsy Glover, Apn, as its authorized official.

NPPES Registry Identity

NPI1073914719
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVGUENI ROUDACHEVSKI, D.O.
Location Address11912 KANIS RD STE F2Little Rock, AR 72211-3771
Mailing Address11912 Kanis Rd Ste F2Little Rock, AR 72211-3771 · (501) 227-8020 · Fax (501) 227-8826
Phone(501) 227-8020
Fax(501) 227-8826
Organization SubpartNo
Authorized OfficialHapsy GloverApn · (501) 227-8020
Enumeration DateSeptember 12, 2014
✔ NPI 1073914719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AR · A03199
Definition
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.
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License A03199 (AR)
11912 KANIS RD STE F2, Little Rock, AR 72211
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Other Identifiers 3

Medicare UPIN5V793AR
Other1568763514AR · Npi
Medicaid186702758AR

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IZOUMROUD OSMANOVNA SOULTANOVA MD, PH.D
Family Medicine
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020
JYRISSA ROBINSON & CO LLC
Nurse Practitioner (Primary Care)
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020
HAPSY D GLOVER APN
Nurse Practitioner (Gerontology)
11912 KANIS RD STE F2
LITTLE ROCK, AR 72211
Pulaski County (501) 227-8020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evgueni Roudachevski, D.O.'s NPI number?

The NPI number for Evgueni Roudachevski, D.O. is 1073914719. It was assigned to this organization in the NPPES registry on September 12, 2014.

Where is Evgueni Roudachevski, D.O. located?

Evgueni Roudachevski, D.O. is located at 11912 Kanis Rd Ste F2, Little Rock, AR 72211. The listed phone number is (501) 227-8020.

What is Evgueni Roudachevski, D.O.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Evgueni Roudachevski, D.O. was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.