1. Home
  2. Directory
  3. Arkansas
  4. Harrison
  5. Assisted Living Facility
  6. NPI Profile

NORTHWEST REGIONAL SUPPORTIVE LIVING LLC
NPI 1700306107
Assisted Living Facility in Harrison, AR

Active since June 27, 2017
1400 OLD BERGMAN RD, HARRISON, AR 72601(870) 204-5102 Get Directions Write a Review

NPPES record last updated: June 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northwest Regional Supportive Living Llc NPPES

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

NORTHWEST REGIONAL SUPPORTIVE LIVING LLC (NPI 1700306107) is a healthcare organization registered as an assisted living facility in Harrison, Arkansas and active in the NPI registry since June 2017. The organization lists Todd Parker Hightower, Manager, as its authorized official.

NPPES Registry Identity

NPI1700306107
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameNORTHWEST REGIONAL SUPPORTIVE LIVING LLC
Location Address1400 OLD BERGMAN RDHarrison, AR 72601-3078
Mailing AddressPo Box 2568Harrison, AR 72602-2568 · (870) 204-5102
Phone(870) 204-5102
Organization SubpartNo
Authorized OfficialTodd Parker HightowerManager · (479) 471-9797
Enumeration DateJune 27, 2017
✔ NPI 1700306107 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 · 430
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.
1400 OLD BERGMAN RD, Harrison, AR 72601
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

MAPLE ESPLANADE LC
Assisted Living Facility
1400 OLD BERGMAN RD
HARRISON, AR 72601
Boone County (405) 705-2400

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 Northwest Regional Supportive Living LLC's NPI number?

The NPI number for Northwest Regional Supportive Living LLC is 1700306107. It was assigned to this organization in the NPPES registry on June 27, 2017.

Where is Northwest Regional Supportive Living LLC located?

Northwest Regional Supportive Living LLC is located at 1400 Old Bergman Rd, Harrison, AR 72601. The listed phone number is (870) 204-5102.

What is Northwest Regional Supportive Living 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 Northwest Regional Supportive Living LLC was last updated on June 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.