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JONESBORO HUMAN DEVELOPMENT CENTER
NPI 1386770030
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jonesboro, AR

Active since February 26, 2007
4701 COLONY DR, JONESBORO, AR 72404(870) 932-4043(870) 932-4459 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonesboro Human Development Center NPPES

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

JONESBORO HUMAN DEVELOPMENT CENTER (NPI 1386770030) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Jonesboro, Arkansas and active in the NPI registry since February 2007. The organization lists Theresia Diane Keith, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1386770030
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameSTATE PF ARKANSAS
Location Address4701 COLONY DRJonesboro, AR 72404-9317
Mailing Address4701 Colony DrJonesboro, AR 72404-9317 · (870) 932-4043 · Fax (870) 932-4459
Phone(870) 932-4043
Fax(870) 932-4459
Organization SubpartNo
Authorized OfficialTheresia Diane KeithSuperintendent · (870) 932-4043
Enumeration DateFebruary 26, 2007
Last NPPES UpdateAugust 16, 2023
✔ NPI 1386770030 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 · 137
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.

4701 COLONY DR, Jonesboro, AR 72404
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Other Names 1

Doing Business AsJonesboro Human Development Center

Other Identifiers 1

Medicaid109054213AR

Other Providers at the Same Location NPPES

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

JOSHUA DAYN BARNES LPEI
Psychologist
4701 COLONY DR
JONESBORO, AR 72404
Craighead County (870) 932-4043

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 Pf Arkansas's NPI number?

The NPI number for State Pf Arkansas is 1386770030. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Jonesboro Human Development Center.

Where is State Pf Arkansas located?

State Pf Arkansas is located at 4701 Colony Dr, Jonesboro, AR 72404. The listed phone number is (870) 932-4043.

What is State Pf Arkansas's specialty?

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

When was this NPI record last updated?

The NPPES record for State Pf Arkansas was last updated on August 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.