Community Living Arrangements

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COMMUNITY LIVING ARRANGEMENTS

Practice address

714 W Grove St
El Dorado, AR 71730-4416

Phone

(870) 863-8194

NPI assigned

Jun 16, 2020

Last updated

Jun 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Staggs

Title

Cfo

Phone

(870) 904-8499

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1851916738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W GROVE ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304416",
            "telephone_number": "870-863-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY LIVING ARRANGEMENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "STAGGS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "870-904-8499",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131009767",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.staggs@sadccf.org",
            "affiliation": "N",
            "address_1": "714 W Grove St",
            "city": "El Dorado",
            "state": "AR",
            "country_code": "US",
            "postal_code": "717304416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• T'Revah Cobb
• Lindsey Cole
• Rachel E Cole, MA, CF-SLP
• Austin Collins, APRN, FNP-C
• Jo Ellen Colvin, CCC-SLP
• Compliance & Screening Services CSS (CSS Healthcare, LLC)
• Concord Company of Arkansas PLLC
• Brandi Connor, M.A., CCC-SLP
• James Henri Cook, LAC
• Kalee E Cook, BA, SLPA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in El Dorado, AR
• Providers in El Dorado, AR by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.