HABILITATION CENTER, LLC


Address: 161 Skunk Hollow Road, Conway, AR 72032
Phone: 8703528203

HABILITATION CENTER, LLC (NPI# 1932746070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932746070
Entity Type Organization
Organization Name HABILITATION CENTER, LLC
Practice Address 161 Skunk Hollow Road
Conway
AR 72032
Mailing Address 6100 Tower Cir Ste 1000
Franklin
TN 37067-1509
Practice Telephone 8703528203
Mailing Telephone 6158617566
Enumeration Date 2019-12-09
Last Update Date 2019-12-09
Authorized Official Name CHRISTOPHER HOWARD (EVP & GENERAL COUNSEL)
Authorized Official Telephone 6158616000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
Little Creek Behavioral Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1952482036 Habilitation Center, LLC Intermediate Care Facility, Mentally Retarded 1828 Industrial Dr, Fordyce, AR 71742 2006-10-17

Office Location

Street Address 161 SKUNK HOLLOW ROAD
City CONWAY
State AR
Zip Code 72032

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730789843 Amelia S Lasater Pharmacist 1155 Hwy 65n, Conway, AR 72032 2020-10-28
1619584604 Danyelle Durocher Occupational Therapist 1301 North Museum Rd, Conway, AR 72032 2020-09-24
1780222174 Eric Herman Boxnick Pharmacist 101 West Oak Street, Conway, AR 72032 2019-12-16
1679051668 Mary Elizabeth Black Nurse Practitioner 222 Dave Ward Drive, Conway, AR 72032 2018-08-01
1275035602 Conway Dental Center Pllc Dentist 1600 E. Oak Street Suite B, Conway, AR 72032 2018-03-01
1750821625 Luke Osborne Physical Therapy Assistant 1 Thomas Ln, Conway, AR 72032 2017-02-27
1639620099 Sam's West, Inc. Technician/Technologist 1250 South Amity Rd, Conway, AR 72032 2016-10-20
1922559343 Sam's West, Inc. Durable Medical Equipment & Medical Supplies 1250 Sourth Amity Rd, Conway, AR 72032 2016-10-20
1639629108 Posture Store Durable Medical Equipment & Medical Supplies 3900 Dave Ward Dr., Suite 1900-130, Conway, AR 72032 2016-10-09
1285005140 Conway Community Services General Acute Care Hospital 1555 Exchange Avenue, Conway, AR 72032 2015-10-16
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Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194826081 Hhc South Carolina Inc Psychiatric Residential Treatment Facility 152 Waccamaw Medical Park Dr, Conway, SC 29526-8901 2006-09-26

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225211741 Woodridge of Forrest City, LLC Psychiatric Residential Treatment Facility 603 Kittel Rd, Forrest City, AR 72335-7728 2007-12-06
1447380423 Piney Ridge Treatment Center, LLC Psychiatric Residential Treatment Facility 4253 Crossover Rd, Fayetteville, AR 72703 2007-03-07
1114915840 Psychiatric Services, Inc Psychiatric Residential Treatment Facility 5208 Kavanaugh Blvd, Suite 4, Little Rock, AR 72207-4609 2005-10-06
1689020844 Woodridge Northwest, LLC Psychiatric Residential Treatment Facility 2466 S 48th St, Springdale, AR 72762-6683 2016-05-06
1154707461 Valley Behavioral Health System, LLC Psychiatric Residential Treatment Facility 10301 Mayo Dr, Barling, AR 72923-1660 2015-08-10
1013278233 Ladonna Kay Delee Psychiatric Residential Treatment Facility 3204 E Moore Ave, Searcy, AR 72143-4826 2012-06-05
1396999801 Youth Home, Inc Psychiatric Residential Treatment Facility 20400 Colonel Glenn Rd, Little Rock, AR 72210 2008-11-11
1134305436 Woodridge Northeast, LLC Psychiatric Residential Treatment Facility 600 N 7th St, West Memphis, AR 72301 2008-01-16
1104033976 Ameris of Arkansas, LLC Psychiatric Residential Treatment Facility 611 W Lee Ave, Osceola, AR 72370-3001 2007-05-17
1083820146 Youth Home, Inc Psychiatric Residential Treatment Facility 20400 Colonel Glenn Rd, Little Rock, AR 72210-5323 2007-05-15
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Competitor

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City CONWAY
Zip Code 72032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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