Southern Legacy of Life

Primary specialty

Organ Procurement OrganizationTaxonomy code 335U00000X

Legal business name

SOUTHERN LEGACY OF LIFE

Practice address

1300 Wilson Rd
Little Rock, AR 72205-6634

Phone

(501) 907-9150

Fax

(501) 694-3112

NPI assigned

Jan 24, 2025

Last updated

Aug 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tasha Renee Flowers

Title

Chief Finance Operating Officer

Phone

(501) 907-9124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1578375549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056634",
            "telephone_number": "501-907-9150",
            "fax_number": "501-694-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WILSON RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056634",
            "telephone_number": "501-907-9150",
            "fax_number": "501-694-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "237 E Millsap Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "AR",
            "postal_code": "727036288",
            "country_code": "US",
            "telephone_number": "501-907-9150",
            "fax_number": "501-694-3112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN LEGACY OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CHIEF FINANCE OPERATING OFFICER",
        "authorized_official_telephone_number": "501-907-9124"
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Organ Procurement Organization in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Organ Procurement Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.