Redd Willow Supportive Living, L.L.C.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

REDD WILLOW SUPPORTIVE LIVING, L.L.C.

Practice address

3610 W 9TH Ave
Pine Bluff, AR 71603-1906

Phone

(870) 489-7918

NPI assigned

Mar 5, 2025

Organization subpart

No

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

Authorized official

Name

Sherry Latrice Scott

Title

Ceo

Phone

(870) 489-7918

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1942008859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 W 9TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716031906",
            "telephone_number": "870-489-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W 9TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716031906",
            "telephone_number": "870-489-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDD WILLOW SUPPORTIVE LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-05",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-489-7918"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richaundra Randle, MHPP
• James C Rassier, CRNA
• Kimberly Michelle Rawls, APRN
• Bryan D. Raymundo, M.D.
• Delois Ann Razor, RPH
• Scotty L Reddin, CRNA
• Redeem Adult Day Healthcare
• Redeeming Hope Counseling
• Anna Talley Redman, M.D.
• Amy Reece, OTR.L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.