OZARK COMMUNITY BRIDGE, LLC
NPI 1811648371
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fayetteville, AR

Active since January 15, 2022
2705 N CLUB DR APT 9, FAYETTEVILLE, AR 72703(207) 618-3784 Get Directions Write a Review

NPPES record last updated: January 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ozark Community Bridge, Llc NPPES

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

OZARK COMMUNITY BRIDGE, LLC (NPI 1811648371) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, Arkansas and active in the NPI registry since January 2022. The organization lists Narcisse Mugisha, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811648371
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameOZARK COMMUNITY BRIDGE, LLC
Location Address2705 N CLUB DR APT 9Fayetteville, AR 72703-4757
Mailing Address2705 N Club Dr Apt 9Fayetteville, AR 72703-4757
Organization SubpartNo
Authorized OfficialNarcisse MugishaCeo · (207) 618-3784
Enumeration DateJanuary 15, 2022
NPPES CertifiedJanuary 15, 2022
NPI 1811648371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
2705 N CLUB DR APT 9, Fayetteville, AR 72703

Other Names 1

Doing Business AsOzark Community Bridge, Llc

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 Ozark Community Bridge, LLC's NPI number?

The NPI number for Ozark Community Bridge, LLC is 1811648371. It was assigned to this organization in the NPPES registry on January 15, 2022.

Where is Ozark Community Bridge, LLC located?

Ozark Community Bridge, LLC is located at 2705 N Club Dr Apt 9, Fayetteville, AR 72703. The listed phone number is (207) 618-3784.

What is Ozark Community Bridge, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Ozark Community Bridge, LLC was last updated on January 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.