ADVANCED HEALING SOLUTIONS AR
NPI 1396562914
Clinic/Center - Medical Specialty in Horatio, AR

Active since September 24, 2024CLIA 45D2312405 · Waiver
132 GORE RC, HORATIO, AR 71842(903) 215-8039(903) 213-9047 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Healing Solutions Ar NPPES

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

ADVANCED HEALING SOLUTIONS AR (NPI 1396562914), doing business as Restorative Mobile Wound Care Of Sw Arkansas, is a healthcare organization registered as a medical specialty in Horatio, Arkansas and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Stacey D Ervin, Owner, as its authorized official.

NPPES Registry Identity

NPI1396562914
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameADVANCED HEALING SOLUTIONS AR
Location Address132 GORE RCHoratio, AR 71842
Mailing Address370 Utah StAvery, TX 75554-2600 · (903) 908-0352 · Fax (903) 213-9047
Fax(903) 213-9047
Organization SubpartNo
Authorized OfficialStacey D ErvinOwner · (903) 908-0352
Enumeration DateSeptember 24, 2024
NPPES CertifiedSeptember 19, 2024
NPI 1396562914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
132 GORE RC, Horatio, AR 71842

Other Names 1

Doing Business AsRestorative Mobile Wound Care Of Sw Arkansas

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 45D2312405

Advanced Healing Solutions, PLLC · Avery, TX
Active · expires Oct 9, 2026
CLIA Number45D2312405
Laboratory TypePractitioner Other
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorStacey D. Ervin
Laboratory Phone(903) 215-8039
Laboratory LocationAdvanced Healing Solutions, PLLC105 Fm 911 S, Avery, TX 75554
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Healing Solutions Ar's NPI number?

The NPI number for Advanced Healing Solutions Ar is 1396562914. It was assigned to this organization in the NPPES registry on September 24, 2024. The provider is doing business as Restorative Mobile Wound Care of SW Arkansas.

Where is Advanced Healing Solutions Ar located?

Advanced Healing Solutions Ar is located at 132 Gore Rc, Horatio, AR 71842. The listed phone number is (903) 215-8039.

What is Advanced Healing Solutions Ar's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Advanced Healing Solutions Ar hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2312405) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Healing Solutions Ar was last updated on September 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.