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PROVIDENCE PCC OF SPRINGDALE
NPI 1740645456
Assisted Living Facility in Springdale, AR

Active since December 22, 2015
2175 ORCHARD ST, SPRINGDALE, AR 72764(479) 750-1511(479) 750-2214 Get Directions Write a Review

NPPES record last updated: December 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Providence Pcc Of Springdale NPPES

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

PROVIDENCE PCC OF SPRINGDALE (NPI 1740645456) is a healthcare organization registered as an assisted living facility in Springdale, Arkansas and active in the NPI registry since December 2015. The organization lists Autumn Ching-long, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1740645456
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVIDENCE PCC OF SPRINGDALE
Location Address2175 ORCHARD STSpringdale, AR 72764-6357
Mailing Address2175 Orchard StSpringdale, AR 72764-6357 · (479) 750-1511 · Fax (479) 750-2214
Phone(479) 750-1511
Fax(479) 750-2214
Organization SubpartNo
Authorized OfficialAutumn Ching-longOffice Manager · (479) 750-1511
Enumeration DateDecember 22, 2015
✔ NPI 1740645456 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 · 102
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.
2175 ORCHARD ST, Springdale, AR 72764
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Other Identifiers 1

Medicaid207728794AR

Other Providers at the Same Location NPPES

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

AHR SPRINGDALE TRS SUB, LLC
Assisted Living Facility
2175 ORCHARD ST
SPRINGDALE, AR 72764
Washington County (479) 334-3089

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 Springdale's NPI number?

The NPI number for Providence Pcc Of Springdale is 1740645456. It was assigned to this organization in the NPPES registry on December 22, 2015.

Where is Providence Pcc Of Springdale located?

Providence Pcc Of Springdale is located at 2175 Orchard St, Springdale, AR 72764. The listed phone number is (479) 750-1511.

What is Providence Pcc Of Springdale'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 Springdale was last updated on December 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.