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Fordyce Assisted Living Inc

NPI 1558777953ActiveOrganization· Assisted Living Facility· Fordyce, AR

Assisted Living Facility in Fordyce, Arkansas, registered in NPPES in July 2014. The authorized official on file is Carla D. Tenbrook, Executive Director.

Overview

NPI1558777953
StatusActive
Entity typeOrganization
NPI issuedJul 7, 2014
Last updated in NPPESJul 7, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X097AR

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