Village Park Residential Living Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

470 RCF Issued in AR

Legal business name

VILLAGE PARK RESIDENTIAL LIVING INC

Doing business as

VPRL Inc

Practice address

1622 Scott St
Conway, AR 72034-5235

Phone

(501) 327-6428

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Kaye Henderson

Title

President

Phone

(501) 327-6428

Specialties & licenses 1

Addresses

Other names 1

• VPRL Inc Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740498450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 SCOTT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345235",
            "telephone_number": "501-327-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 SCOTT ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345235",
            "telephone_number": "501-327-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE PARK RESIDENTIAL LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-327-6428"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AR",
            "license": "470 RCF",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VPRL Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penny Annette Vaught, MS, CCC-SLP
• Anastasia Nicole Ventrano, OT
• Vibrant ABA Ar LLC
• Vida Physical Therapy PLLC
• Village Park of Conway, Inc.
• Justin Vining, MHPP
• Dominique Deaju Vinson, QBHP
• Janell Thompson Vinson, MD
• Demarcus Virgies, RECOVERY ASSISTANT
• Visit Healthcare

• Assisted Living Facility in Conway, AR
• Providers in Conway, 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 Aug 22, 2020; 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.