OrganizationActive
Short Mountain Lodge Cssp LLC
NPI 1194540534 · Community/Behavioral Health Agency · Paris, AR
Provider details
- NPI number
- 1194540534
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Claude Bryant, Regional Administrator(479) 650-7083
Specialties & taxonomies
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
2721 W Walnut St
Paris, AR 72855-3642
Phone: (479) 963-2255
Street-level locationGet directions
Mailing address
6500 Rye Hill Rd E
Fort Smith, AR 72916-8397
Registry dates
- Enumerated
- 2024-11-20
- Last updated
- 2025-05-07
- Certified
- 2025-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.