Healthcare Provider Details

I. General information

NPI: 1306768965
Provider Name (Legal Business Name): A1 CARE LIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13409 TETON DR
LITTLE ROCK AR
72211-4001
US

IV. Provider business mailing address

13409 TETON DR
LITTLE ROCK AR
72211-4001
US

V. Phone/Fax

Practice location:
  • Phone: 501-258-4584
  • Fax:
Mailing address:
  • Phone: 501-258-4584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SAPNA R CHAMADIA
Title or Position: MANAGER
Credential:
Phone: 501-258-4584