Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Regional Supportive Living LLC

Organization Assisted Living Facility · NPI 1700306107

Northwest Regional Supportive Living LLC is an Assisted Living Facility in Harrison, Arkansas. Licensed in Arkansas. Registered with an NPI since 2017.

Licensed in
AR
In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1400 Old Bergman Rd
Harrison, AR 72601-3078
Phone: (870) 204-5102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 430 (AR)

Record details

NPI number1700306107
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Hightower — Manager · (479) 471-9797
NPI enumeratedJune 27, 2017
Last updated in NPPESJune 27, 2017
Mailing addressPo Box 2568, Harrison, AR 72602-2568

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