Stacy Banks

Individual provider Active NPI Adult Care Home Facility · Fort Smith, AR

NPI 1831006717 · NPPES record last updated Aug 26, 2026

Key facts

NPI
1831006717
Entity type
Individual (NPI type 1)
Primary specialty
Adult Care Home Facility 311ZA0620X
Practice address
3505 Riverfront Dr
Fort Smith, AR 72904-1510
Phone
(425) 231-4451
NPI assigned
Aug 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Yes

Addresses

Primary practice location

3505 Riverfront Dr
Fort Smith, AR 72904-1510

Mailing address

3505 Riverfront Dr
Fort Smith, AR 72904-1510

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Adult Care Home Facility in Arkansas

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
  • NUCC Health Care Provider Taxonomy: specialty names.

Verify at the official NPI Registry.