MEDICARE: MORNINGSIDE HEALTHCARE & LIVING CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1104641117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORNINGSIDE HEALTHCARE & LIVING CENTER LLC

Provider Business Mailing Address
First Line	:	2201 S STATE ST
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72206-1326
Country	:	US
Telephone Number	:	501-960-5866
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 MAIN ST # 600
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72202-5037
Country	:	US
Telephone Number	:	501-960-5866
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LANA ELIZABETH NAYLES
Credential	:	BBA
Telephone Number	:	501-960-5866

Provider Enumeration Date	:	11/15/2024
Last Update Date	:	02/09/2026

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