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REDD WILLOW SUPPORTIVE LIVING, L.L.C.
NPI 1942008859
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Pine Bluff, AR

Active since March 05, 2025
3610 W 9TH AVE, PINE BLUFF, AR 71603(870) 489-7918 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Redd Willow Supportive Living, L.l.c. NPPES

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

REDD WILLOW SUPPORTIVE LIVING, L.L.C. (NPI 1942008859) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Pine Bluff, Arkansas and active in the NPI registry since March 2025. The organization lists Sherry Latrice Scott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942008859
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameREDD WILLOW SUPPORTIVE LIVING, L.L.C.
Location Address3610 W 9TH AVEPine Bluff, AR 71603-1906
Mailing Address3610 W 9th AvePine Bluff, AR 71603-1906 · (870) 489-7918
Phone(870) 489-7918
Organization SubpartNo
Authorized OfficialSherry Latrice ScottCeo · (870) 489-7918
Enumeration DateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
✔ NPI 1942008859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Also ListedRespite CareTaxonomy 385H00000X
3610 W 9TH AVE, Pine Bluff, AR 71603
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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 Redd Willow Supportive Living, L.L.C.'s NPI number?

The NPI number for Redd Willow Supportive Living, L.L.C. is 1942008859. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Redd Willow Supportive Living, L.L.C. located?

Redd Willow Supportive Living, L.L.C. is located at 3610 W 9th Ave, Pine Bluff, AR 71603. The listed phone number is (870) 489-7918.

What is Redd Willow Supportive Living, L.L.C.'s specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Redd Willow Supportive Living, L.L.C. was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.