NPIMap

Organization Active NPI

Arkansas Enterprises for the Developmentally Disabled, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Little Rock, AR
National Provider Identifier
1184634610
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
112558724 Issued in AR
Legal business name
ARKANSAS ENTERPRISES FOR THE DEVELOPMENTALLY DISABLED, INC.
Practice address
6 Production Dr
Little Rock, AR 72209-4357
Phone
(501) 374-7538
Fax
(501) 666-2113
NPI assigned
Aug 8, 2006
Last updated
Jun 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Mr. Curtis Willding
Title
Chief Financial Officer
Phone
(501) 666-0246

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 129508774 AR
Developmentally Disabled Services Day Training Agency 251C00000X 112558724 AR Primary
Clinic/Center 261Q00000X 149854724 AR
Developmental Disabilities Clinic/Center 261QD1600X 146646724 AR

Addresses

Primary practice location

6 Production Dr
Little Rock, AR 72209-4357

Mailing address

105 E Roosevelt Rd
Little Rock, AR 72206-2221
Phone (501) 666-0246

Other identifiers 11

IdentifierTypeStateIssuer
125954767MedicaidAR
5C657OtherARAR BLUE CROSS BLUE SHIELD
148424715MedicaidAR
112558724MedicaidAR
132619786OtherARSTATE
118199715MedicaidAR
125958775MedicaidAR
129508774MedicaidAR
134433782MedicaidAR
146646724MedicaidAR
149854724MedicaidAR

National Provider Directory

National Provider Directory

Locations

105 E Roosevelt Rd
Little Rock, AR 72206

6 Production Dr
Little Rock, AR 72209
Phone (501) 374-7538

80 W 2nd St
Ward, AR 72176

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1184634610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E ROOSEVELT RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722062221",
            "telephone_number": "501-666-0246",
            "fax_number": "501-666-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PRODUCTION DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094357",
            "telephone_number": "501-374-7538",
            "fax_number": "501-666-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS ENTERPRISES FOR THE DEVELOPMENTALLY DISABLED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "WILLDING",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "501-666-0246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": "129508774",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "112558724",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AR",
            "license": "149854724",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AR",
            "license": "146646724",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125954767",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AR BLUE CROSS BLUE SHIELD",
            "identifier": "5C657",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148424715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112558724",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "132619786",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118199715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125958775",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129508774",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134433782",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146646724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149854724",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.