Active NPI
Southern Charm Senior Living LLC
- In Home Supportive Care Agency
- Benton, AR
National Provider Identifier
1619766292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SOUTHERN CHARM SENIOR LIVING LLC
- Doing business as
- Southern Charm Senior Services
- Practice address
- 7103 Samples Rd Ste 1
Benton, AR 72019-8348 - Phone
- (501) 672-6405
- Fax
- (501) 367-7707
- NPI assigned
- May 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Suzette Handwork, BSN, RN
- Title
- Owner/President
- Phone
- (501) 672-6405
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
7103 Samples Rd Ste 1
Benton, AR 72019-8348
Mailing address
7103 Samples Rd Ste 1
Benton, AR 72019-8348
Phone (501) 672-6405
Other names 1
- Southern Charm Senior Services
National Provider Directory
National Provider DirectoryLocations
7103 Samples Rd
Ste 1
Benton, AR 72019
Phone (501) 672-6405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746057600000",
"number": "1619766292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7103 SAMPLES RD STE 1",
"city": "BENTON",
"state": "AR",
"postal_code": "720198348",
"telephone_number": "501-672-6405",
"fax_number": "501-367-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7103 SAMPLES RD STE 1",
"city": "BENTON",
"state": "AR",
"postal_code": "720198348",
"telephone_number": "501-672-6405",
"fax_number": "501-367-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CHARM SENIOR LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-01",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A",
"authorized_official_last_name": "HANDWORK",
"authorized_official_first_name": "SUZETTE",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "501-672-6405",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BSN, RN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southern Charm Senior Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.