Healthcare Provider Details

I. General information

NPI: 1205454808
Provider Name (Legal Business Name): INCURA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2020
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S RODNEY PARHAM RD
LITTLE ROCK AR
72204-2476
US

IV. Provider business mailing address

1000 S RODNEY PARHAM RD
LITTLE ROCK AR
72204-2476
US

V. Phone/Fax

Practice location:
  • Phone: 501-747-1731
  • Fax: 501-897-6195
Mailing address:
  • Phone: 501-747-1731
  • Fax: 501-897-6195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0401X
TaxonomyComprehensive Outpatient Rehabilitation Facility (CORF)
License Number
License Number State

VIII. Authorized Official

Name: MR. GRANT LEE
Title or Position: ADMINISTRATOR
Credential:
Phone: 870-672-1038