Healthcare Provider Details

I. General information

NPI: 1447395439
Provider Name (Legal Business Name): COMMUNITY LIFE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 MICHAEL DR
LITTLE ROCK AR
72204-2336
US

IV. Provider business mailing address

105 E ROOSEVELT RD
LITTLE ROCK AR
72206-2221
US

V. Phone/Fax

Practice location:
  • Phone: 501-223-9015
  • Fax: 501-666-2113
Mailing address:
  • Phone: 501-666-0246
  • Fax: 501-666-2113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number StateAR

VIII. Authorized Official

Name: MR. JIM HINSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 501-666-0246