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STONEBRIDGE OF CONWAY
NPI 1972007292
Assisted Living Facility in Conway, AR

Active since March 21, 2018CLIA 04D1100835 · Waiver
1306 S. DONAGHEY, CONWAY, AR 72034(501) 327-3030(501) 327-3034 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stonebridge Of Conway NPPES

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

STONEBRIDGE OF CONWAY (NPI 1972007292) is a healthcare organization registered as an assisted living facility in Conway, Arkansas and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Mark Lierman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972007292
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameELDERCARE OF ARKANSAS III, INC.
Location Address1306 S. DONAGHEYConway, AR 72034
Mailing Address2500 S. Old Highway 94, Suite 104St. Charles, MO 63303 · (636) 477-3280 · Fax (636) 477-3241
Phone(501) 327-3030
Fax(501) 327-3034
Organization SubpartNo
Authorized OfficialMark LiermanCeo · (636) 477-3280
Enumeration DateMarch 21, 2018
✔ NPI 1972007292 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 · 440
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.
1306 S. DONAGHEY, Conway, AR 72034
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Other Names 1

Doing Business AsStonebridge Of Conway

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D1100835

Stonebridge Of Conway Eldercare Of Arkansas III, Inc · Conway, AR
Active · expires Jun 11, 2027
CLIA Number04D1100835
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorMs. Shelley Culwell
Laboratory Phone(501) 327-3030
Laboratory LocationStonebridge Of Conway Eldercare Of Arkansas III, Inc1306 South Donaghey, Conway, AR 72034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eldercare Of Arkansas III, Inc.'s NPI number?

The NPI number for Eldercare Of Arkansas III, Inc. is 1972007292. It was assigned to this organization in the NPPES registry on March 21, 2018. The provider is doing business as Stonebridge Of Conway.

Where is Eldercare Of Arkansas III, Inc. located?

Eldercare Of Arkansas III, Inc. is located at 1306 S. Donaghey, Conway, AR 72034. The listed phone number is (501) 327-3030.

What is Eldercare Of Arkansas III, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Eldercare Of Arkansas III, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D1100835) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eldercare Of Arkansas III, Inc. was last updated on March 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.