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BENTONVILLE ASSISTED LIVING SERVICES
NPI 1164748463
Assisted Living Facility in Bentonville, AR

Active since April 12, 2010
3317 SE L ST, BENTONVILLE, AR 72712(479) 254-8759(479) 254-9349 Get Directions Write a Review

NPPES record last updated: April 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bentonville Assisted Living Services NPPES

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

BENTONVILLE ASSISTED LIVING SERVICES (NPI 1164748463) is a healthcare organization registered as an assisted living facility in Bentonville, Arkansas and active in the NPI registry since April 2010. The organization lists Thomas C Oppenheim, President, as its authorized official.

NPPES Registry Identity

NPI1164748463
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBENTONVILLE ASSISTED LIVING SERVICES
Location Address3317 SE L STBentonville, AR 72712-3793
Mailing Address808 N Main St Apt 1Bentonville, AR 72712-4830 · (479) 273-7344 · Fax (479) 464-7169
Phone(479) 254-8759
Fax(479) 254-9349
Organization SubpartNo
Authorized OfficialThomas C OppenheimPresident · (479) 426-6510
Enumeration DateApril 12, 2010
✔ NPI 1164748463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in AR · 180230794
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.
3317 SE L ST, Bentonville, AR 72712
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Other Identifiers 1

Medicaid180230794AR

Other Providers at the Same Location NPPES

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

THE GARDENS AT OSAGE TERRACE
Assisted Living Facility
3317 SE L ST
BENTONVILLE, AR 72712
Benton County (479) 254-8759

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 Bentonville Assisted Living Services's NPI number?

The NPI number for Bentonville Assisted Living Services is 1164748463. It was assigned to this organization in the NPPES registry on April 12, 2010.

Where is Bentonville Assisted Living Services located?

Bentonville Assisted Living Services is located at 3317 SE L St, Bentonville, AR 72712. The listed phone number is (479) 254-8759.

What is Bentonville Assisted Living Services'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 Bentonville Assisted Living Services was last updated on April 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.