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Indian Rock Al LLC

NPI 1841089802ActiveOrganization· Assisted Living Facility· Fairfield Bay, AR

Assisted Living Facility in Fairfield Bay, Arkansas, registered in NPPES in May 2025. The authorized official on file is Chaim Herzberg, Ceo.

Overview

NPI1841089802
StatusActive
Entity typeOrganization
NPI issuedMay 5, 2025
Last updated in NPPESMay 5, 2025
Certified by providerMay 5, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Assisted Living Facility Primary310400000X——

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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