Organization Active NPI

Lavender of Fort Smith

  • Assisted Living Facility
  • Fort Smith, AR
National Provider Identifier
1164375424
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAVENDER OF FORT SMITH
Practice address
1500 Fresno St
Fort Smith, AR 72901-7023
Phone
(479) 785-5544
NPI assigned
Feb 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alex Kiss
Title
Director
Phone
(479) 785-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1500 Fresno St
Fort Smith, AR 72901-7023

Mailing address

1500 Fresno St
Fort Smith, AR 72901-7023
Phone (479) 785-5544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1164375424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 FRESNO ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017023",
            "telephone_number": "479-785-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FRESNO ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017023",
            "telephone_number": "479-785-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER OF FORT SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "KISS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "479-785-5544"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.