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JACKSONVILLE CARE CENTER, LLC
NPI 1720512643
Assisted Living Facility in Jacksonville, AR

Active since April 18, 2017
1500 GRAHAM RD, JACKSONVILLE, AR 72076(501) 982-5545(501) 982-0016 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Apr 18, 2017 (2 updates tracked since 2017).

About Jacksonville Care Center, Llc NPPES

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

JACKSONVILLE CARE CENTER, LLC (NPI 1720512643) is a healthcare organization registered as an assisted living facility in Jacksonville, Arkansas and active in the NPI registry since April 2017. The organization lists Jerry D Sams, Member, as its authorized official.

NPPES Registry Identity

NPI1720512643
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJACKSONVILLE CARE CENTER, LLC
Location Address1500 GRAHAM RDJacksonville, AR 72076-3837
Mailing Address415 Rogers AveFort Smith, AR 72901-1903 · (479) 783-4672 · Fax (479) 783-2217
Phone(501) 982-5545
Fax(501) 982-0016
Organization SubpartNo
Authorized OfficialJerry D SamsMember · (479) 783-4672
Enumeration DateApril 18, 2017
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1720512643 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 · 502
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.
1500 GRAHAM RD, Jacksonville, AR 72076
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Other Providers at the Same Location NPPES

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

MICHELLE M COLLINS
Physical Therapist
1500 GRAHAM RD
JACKSONVILLE, AR 72076
Pulaski County (501) 920-5644

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 Jacksonville Care Center, LLC's NPI number?

The NPI number for Jacksonville Care Center, LLC is 1720512643. It was assigned to this organization in the NPPES registry on April 18, 2017.

Where is Jacksonville Care Center, LLC located?

Jacksonville Care Center, LLC is located at 1500 Graham Rd, Jacksonville, AR 72076. The listed phone number is (501) 982-5545.

What is Jacksonville Care Center, 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 Jacksonville Care Center, LLC was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.