Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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

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

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: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 25, 2026, Mar 5, 2025 (2 updates tracked since 2025).

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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 community based 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 Taxonomy320900000X

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

Last NPPES UpdateAugust 25, 20262 updates tracked since enumeration

NPPES CertifiedAugust 25, 2026

✔ NPI 1942008859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

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 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 Redd Willow Supportive Living, L.L.C. was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.