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PROVALSD CLARKSVILLE
NPI 1811831068
Assisted Living Facility in Clarksville, AR

Active since April 17, 2026
702 S HOSPITAL DR, CLARKSVILLE, AR 72830(479) 747-6696(479) 747-6696 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Provalsd Clarksville NPPES

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

PROVALSD CLARKSVILLE (NPI 1811831068), doing business as Providence Assisted Living Clarksville, is a healthcare organization registered as an assisted living facility in Clarksville, Arkansas and active in the NPI registry since April 2026. The organization lists Malissa Ellis, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1811831068
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NamePROVALSD CLARKSVILLE
Location Address702 S HOSPITAL DRClarksville, AR 72830-4434
Mailing Address702 S Hospital DrClarksville, AR 72830-4434 · (479) 747-6696 · Fax (479) 747-6696
Phone(479) 747-6696
Fax(479) 747-6696
Organization SubpartNo
Authorized OfficialMalissa EllisDirector Of Operations · (501) 472-9070
Enumeration DateApril 17, 2026
NPPES CertifiedApril 17, 2026
✔ NPI 1811831068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
702 S HOSPITAL DR, Clarksville, AR 72830
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Other Names 1

Doing Business AsProvidence Assisted Living Clarksville

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 Provalsd Clarksville's NPI number?

The NPI number for Provalsd Clarksville is 1811831068. It was assigned to this organization in the NPPES registry on April 17, 2026. The provider is doing business as Providence Assisted Living Clarksville.

Where is Provalsd Clarksville located?

Provalsd Clarksville is located at 702 S Hospital Dr, Clarksville, AR 72830. The listed phone number is (479) 747-6696.

What is Provalsd Clarksville'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 Provalsd Clarksville was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.