Organization Active NPI

Awareness Care LLC

  • Exclusive Provider Organization
  • Little Rock, AR
National Provider Identifier
1669907408
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
300155 Issued in AR
Legal business name
AWARENESS CARE LLC
Practice address
900 S Pine St
Little Rock, AR 72204-2073
Phone
(501) 612-4406
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Miss Antonette Williams
Title
Owner/Administrator
Phone
(501) 681-3509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 300155 AR Primary

Addresses

Primary practice location

900 S Pine St
Little Rock, AR 72204-2073

Mailing address

900 S Pine St
Little Rock, AR 72204-2073
Phone (501) 612-4406

Other identifiers 1

IdentifierTypeStateIssuer
204556742MedicaidAR

National Provider Directory

National Provider Directory

Locations

900 S Pine St
Little Rock, AR 72204
Phone (501) 612-4406

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1669907408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S PINE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042073",
            "telephone_number": "501-612-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S PINE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042073",
            "telephone_number": "501-612-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWARENESS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANTONETTE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "501-681-3509",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "AR",
            "license": "300155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204556742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.