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

Mr. Jimi Henderson Sr., RECOVERYASSISTANT

Individual provider Case Manager/Care Coordinator · NPI 1003203332

Mr. Jimi Henderson Sr., RECOVERYASSISTANT is a Case Manager/Care Coordinator in Conway, Arkansas. Works from 2 locations. Licensed in Arkansas.

Licensed in
AR
In the registry since
2015
Specialties on file
2

Practice location Address checks out

132 Lowr Ridge RD
Conway, AR 72032-8518
Phone: (501) 548-9905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10 Evelyn Ln, Conway, AR 72032-9503 — (501) 613-6048

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (AR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1003203332
Entity typeIndividual (Type 1)
GenderMale
Credentials RECOVERYASSISTANT
Sole proprietorNo
NPI enumeratedApril 24, 2015
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

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