Little Creek Behavioral Health

LBN: Habilitation Center, Llc
Little Creek Behavioral Health is an health care organization with primary practice located at 1828 Industrial Dr , Fordyce AR 71742. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, Residential Treatment Facilities / Psychiatric Residential Treatment Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty. Habilitation Center, Llc can be contacted via phone (870) 352-8203, or through Farley, Brian P. via phone (615) 861-6000.

Contact Information

Primary practice address
1828 Industrial Dr Fordyce AR 71742
Phone: (870) 352-8203
Fax: (870) 352-5277
Website:
Map and Directions
Authorized official contact:
Name: Farley, Brian P.
Phone: (615) 861-6000

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 422 Arkansas
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 233 Arkansas

Profile Details

NPI number 1952482036
LBN Legal business name Habilitation Center, Llc
DBA Doing business as Little Creek Behavioral Health
Authorized official Farley, Brian P.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2006
Last updated May 23rd, 2024 - about 6 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952482036 NPPES
Arkansas MEDICAID 109332213
Arkansas MEDICAID 140531726
Arkansas MEDICAID 135301725

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