CONWAY HUMAN DEVELOPMENT CENTER
NPI 1093840282
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Conway, AR

Active since February 21, 2007CLIA 04D0642170 · Certificate of Compliance
150 SIEBENMORGEN RD, CONWAY, AR 72032(501) 329-6851(501) 336-0508 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Conway Human Development Center NPPES

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

CONWAY HUMAN DEVELOPMENT CENTER (NPI 1093840282) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Conway, Arkansas and active in the NPI registry since February 2007. The organization holds a CLIA Certificate of Compliance certificate valid through November 21, 2027 and lists Sally Sellers, Business Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1093840282
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTATE OF ARKANSAS
Location Address150 SIEBENMORGEN RDConway, AR 72032
Mailing Address150 Siebenmorgen RdConway, AR 72032 · (501) 329-6851 · Fax (501) 336-0508
Fax(501) 336-0508
Organization SubpartNo
Authorized OfficialSally SellersBusiness Operations Manager · (501) 329-6851
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 24, 2023
NPI 1093840282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in AR · 139
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
150 SIEBENMORGEN RD, Conway, AR 72032

Other Names 1

Doing Business AsConway Human Development Center

Other Identifiers 1

Medicaid109217213AR

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 Compliance 04D0642170

Conway Human Development Center · Conway, AR
Active · expires Nov 21, 2027
CLIA Number04D0642170
Laboratory TypeIntermediate Care Facility For Mentally Retarded
Certificate Effective DateNovember 22, 2025
Certificate Expiration DateNovember 21, 2027
Laboratory DirectorDr. James L. Babcock
Laboratory Phone(501) 329-6851
Laboratory LocationConway Human Development Center150 East Siebenmorgen Road, Conway, AR 72032
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 State Of Arkansas's NPI number?

The NPI number for State Of Arkansas is 1093840282. It was assigned to this organization in the NPPES registry on February 21, 2007. The provider is doing business as Conway Human Development Center.

Where is State Of Arkansas located?

State Of Arkansas is located at 150 Siebenmorgen Rd, Conway, AR 72032. The listed phone number is (501) 329-6851.

What is State Of Arkansas's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

Does State Of Arkansas hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 04D0642170) is associated with this NPI, valid through November 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for State Of Arkansas was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.