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Southridge Village-Cabot Mgnt. Co.

NPI 1245526813ActiveOrganization· Assisted Living Facility· Cabot, AR

Assisted Living Facility in Cabot, Arkansas, registered in NPPES in June 2011. The authorized official on file is Gretchen E. Humphreys, Office Manager.

Overview

NPI1245526813
StatusActive
Entity typeOrganization
NPI issuedJun 22, 2011
Last updated in NPPESJun 22, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X057AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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