Organization Active NPI

Southern Charm Senior Living LLC

  • In Home Supportive Care Agency
  • Benton, AR
National Provider Identifier
1619766292
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 1, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.