8900 JFK, LLC
Organization Active NPI Community/Behavioral Health Agency · Sherwood, AR
NPI 1497220255 · NPPES record last updated Dec 2, 2024
Key facts
- NPI
- 1497220255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 8900 JFK, LLC
- Practice address
- 8900 Highway 107
Sherwood, AR 72120 - Phone
- (501) 819-6816
- Fax
- (501) 392-6027
- NPI assigned
- Oct 9, 2018
- Organization subpart
- No
Authorized official
- Name
- Rachel K Norwood
- Title
- VP
- Phone
- (501) 224-0846
Corporate family (same tax ID) 1
Practitioners 1
-
Charlanda Ford, LPC
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2330665 | Gardens of Sherwood, the | Certificate of waiver | Sep 18, 2027 |
National Provider Directory
- Tax ID family
- 8900 JFK
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Custodial Care Facility | 311Z00000X |
Addresses
Primary practice location
8900 Highway 107
Sherwood, AR 72120
Mailing address
8900 Highway 107
Sherwood, AR 72120-2932
Other names
- The Gardens of Sherwood
Other providers in Sherwood, AR
- Piper Abbott
- London Paige Abernathy Creel
- Absolute Royal Care LLC
- Tarek Abuelem
- Access Rehab & Therapy Services, Inc.
All providers in Sherwood, AR · Community/Behavioral Health Agency in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.