FOX RIDGE BRYANT
NPI 1093168643
Assisted Living Facility in Bryant, AR

Active since July 19, 2016
4216 FOX RIDGE DR, BRYANT, AR 72022(501) 547-3400 Get Directions Write a Review

NPPES record last updated: July 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fox Ridge Bryant NPPES

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

FOX RIDGE BRYANT (NPI 1093168643) is a healthcare organization registered as an assisted living facility in Bryant, Arkansas and active in the NPI registry since July 2016. The organization lists Jesse Galloway, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1093168643
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameARHC FRBRYAR01 TRS LLC
Location Address4216 FOX RIDGE DRBryant, AR 72022-8308
Mailing AddressPo Box 13267Maumelle, AR 72113-0267
Organization SubpartNo
Authorized OfficialJesse GallowayAuthorized Official · (212) 415-6500
Enumeration DateJuly 19, 2016
NPI 1093168643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
4216 FOX RIDGE DR, Bryant, AR 72022

Other Names 1

Doing Business AsFox Ridge Bryant

Other Identifiers 1

Medicaid213923794AR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2309006

Fox Ridge Bryant Arhc Frbryar01 Trs LLC · Bryant, AR
Expired · Aug 7, 2026
CLIA Number04D2309006
Laboratory TypeAssisted Living Facility
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorJeffery Wright
Laboratory Phone(501) 847-3400
Laboratory LocationFox Ridge Bryant Arhc Frbryar01 Trs LLC4216 Fox Ridge Drive, Bryant, AR 72022
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Nurse Practitioner (Family)
4216 FOX RIDGE DR
BRYANT, AR 72022
Assisted Living Facility
4216 FOX RIDGE DR
BENTON, AR 72022
Assisted Living Facility
4216 FOX RIDGE DR
BRYANT, AR 72022

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 Arhc Frbryar01 Trs LLC's NPI number?

The NPI number for Arhc Frbryar01 Trs LLC is 1093168643. It was assigned to this organization in the NPPES registry on July 19, 2016. The provider is doing business as Fox Ridge Bryant.

Where is Arhc Frbryar01 Trs LLC located?

Arhc Frbryar01 Trs LLC is located at 4216 Fox Ridge Dr, Bryant, AR 72022. The listed phone number is (501) 547-3400.

What is Arhc Frbryar01 Trs LLC'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 Arhc Frbryar01 Trs LLC was last updated on July 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.