REDD WILLOW SUPPORTIVE LIVING, L.L.C. – NPI #1942008859
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

REDD WILLOW SUPPORTIVE LIVING, L.L.C. is a residential treatment facility located in PINE BLUFF, AR. NPPES has assigned the NPI number 1942008859 to REDD WILLOW SUPPORTIVE LIVING, L.L.C. on March 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REDD WILLOW SUPPORTIVE LIVING, L.L.C. below.

NPI Profile for
REDD WILLOW SUPPORTIVE LIVING, L.L.C.

NPI Number
1942008859
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REDD WILLOW SUPPORTIVE LIVING, L.L.C.
Primary location
3610 W 9TH AVE
PINE BLUFF, AR 71603-1906
Phone: (870) 489-7918 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHERRY SCOTT
CEO
Phone: (870) 489-7918
Updated
Certification Date
Mar 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)
385H00000X
- Respite Care

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.