Active NPI
Awareness Care LLC
- Exclusive Provider Organization
- Little Rock, AR
National Provider Identifier
1669907408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- License
- 300155
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204556742 | Medicaid | AR |
National Provider Directory
National Provider DirectoryLocations
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.