Little Rock Enrichment Center, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

149 Issued in AR

Legal business name

LITTLE ROCK ENRICHMENT CENTER, INC.

Doing business as

Adult Day Health Care

Practice address

13003 Stacy LN
Little Rock, AR 72211-3238

Phone

(501) 310-1150

Fax

(501) 353-0806

NPI assigned

Jun 27, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Daric Lamont Washington, RN

Title

President/ Director/ Owner/ Manager

Phone

(501) 310-1150

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Adult Day Health Care Doing business as

Locations

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1679837314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13003 STACY LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113238",
            "telephone_number": "501-310-1150",
            "fax_number": "501-353-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13003 STACY LN",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722113238",
            "telephone_number": "501-310-1150",
            "fax_number": "501-353-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ROCK ENRICHMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DARIC",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR/ OWNER/ MANAGER",
        "authorized_official_telephone_number": "501-310-1150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188968755",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188967756",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192059757",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adult Day Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Assisted Living Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.