OrganizationActive
Kids Unlimited of Washington County Inc
NPI 1104412568 · Developmental Disabilities Clinic/Center · Farmington, AR
Provider details
- NPI number
- 1104412568
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shelly Keller, Ceo(870) 336-8100
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
120 Southwinds Rd Ste 2
Farmington, AR 72730-8652
Phone: (479) 300-6400
Street-level locationGet directions
Mailing address
3127 Southwest Dr Ste a
Jonesboro, AR 72404-8404
Registry dates
- Enumerated
- 2020-12-18
- Last updated
- 2020-12-18
- Certified
- 2020-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.