Organization Active NPI

Natural State Recovery Center LLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
National Provider Identifier
1962999359
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NATURAL STATE RECOVERY CENTER LLC
Practice address
924 Main St
Little Rock, AR 72202-3818
Phone
(501) 319-7074
Fax
(501) 800-1007
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Authorized official

Name
Grant K Gordy
Title
Executive Director
Phone
(501) 319-7074

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X AR

Addresses

Primary practice location

924 Main St
Little Rock, AR 72202-3818

Mailing address

10025 Oakland Dr
North Little Rock, AR 72118-1942
Phone (501) 319-7074

Other practice location 1

700 S German Ln Ste 103
Conway, AR 72034-7191
Phone (501) 319-7074

National Provider Directory

National Provider Directory

Locations

700 S German Ln
Ste 103
Conway, AR 72034
Phone (501) 319-7074

3600 Cantrell Rd
Ste 303
Little Rock, AR 72202

924 Main St
Little Rock, AR 72202
Phone (501) 319-7074

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767139200000",
    "number": "1962999359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10025 OAKLAND DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721181942",
            "telephone_number": "501-319-7074",
            "fax_number": "501-800-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 MAIN ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722023818",
            "telephone_number": "501-319-7074",
            "fax_number": "501-800-1007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S German Ln Ste 103",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720347191",
            "country_code": "US",
            "telephone_number": "501-319-7074",
            "fax_number": "501-319-7074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATURAL STATE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A",
        "authorized_official_last_name": "GORDY",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "501-319-7074"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.