Organization Active NPI

Leewood Supportive Services Inc

  • Developmentally Disabled Services Day Training Agency
  • North Little Rock, AR
National Provider Identifier
1427881069
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
LEEWOOD SUPPORTIVE SERVICES INC
Practice address
14421 Saddle Wood Dr
North Little Rock, AR 72117-5264
Phone
(501) 773-7423
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Candace WoodruffNPI 1629477468
Title
President
Phone
(501) 773-7423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

14421 Saddle Wood Dr
North Little Rock, AR 72117-5264

Mailing address

905 La Harpe Blvd
Little Rock, AR 72201-1208
Phone (501) 773-7423

National Provider Directory

National Provider Directory

Locations

905 La Harpe Blvd
Little Rock, AR 72201
Phone (501) 773-7423

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1427881069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 LA HARPE BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011208",
            "telephone_number": "501-773-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14421 SADDLE WOOD DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721175264",
            "telephone_number": "501-773-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWOOD SUPPORTIVE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "WOODRUFF",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-773-7423"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.