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PROVIDENCE PCC OF SEARCY LLC
NPI 1730422940
Assisted Living Facility in Searcy, AR

Active since April 05, 2013
3014 E MOORE AVE, SEARCY, AR 72143(501) 268-4169 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Pcc Of Searcy Llc NPPES

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

PROVIDENCE PCC OF SEARCY LLC (NPI 1730422940) is a healthcare organization registered as an assisted living facility in Searcy, Arkansas and active in the NPI registry since April 2013. The organization lists Lisa Jackson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1730422940
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVIDENCE PCC OF SEARCY LLC
Location Address3014 E MOORE AVESearcy, AR 72143-5069
Mailing Address3014 E Moore AveSearcy, AR 72143-5069 · (501) 268-4169
Phone(501) 268-4169
Organization SubpartNo
Authorized OfficialLisa JacksonAdministrator · (501) 268-4169
Enumeration DateApril 5, 2013
✔ NPI 1730422940 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 · 076
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.
3014 E MOORE AVE, Searcy, AR 72143
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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.

WHITE COUNTY MEDICAL CENTER
Assisted Living Facility
3014 E MOORE AVE
SEARCY, AR 72143
White County (501) 268-4169

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 Providence Pcc Of Searcy LLC's NPI number?

The NPI number for Providence Pcc Of Searcy LLC is 1730422940. It was assigned to this organization in the NPPES registry on April 5, 2013.

Where is Providence Pcc Of Searcy LLC located?

Providence Pcc Of Searcy LLC is located at 3014 E Moore Ave, Searcy, AR 72143. The listed phone number is (501) 268-4169.

What is Providence Pcc Of Searcy 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 Providence Pcc Of Searcy LLC was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.