OrganizationActive
Full Potential
NPI 1174891808 · Pediatric Skilled Nursing Facility · Little Rock, AR
Provider details
- NPI number
- 1174891808
- Entity type
- Organization
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tanishia Williams, Nurse(501) 442-3268
- License
- L46656 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
8109 Interstate 30
Little Rock, AR 72209
Phone: (501) 442-3268
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 244
Mabelvale, AR 72103
Registry dates
- Enumerated
- 2011-12-08
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.