OrganizationActive
1621 E 42 LLC
NPI 1437964244 · Community/Behavioral Health Agency · Texarkana, AR
1621 E 42 LLC is a Community/Behavioral Health Agency organization in Texarkana, AR (NPI 1437964244).
Provider details
- NPI number
- 1437964244
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Edward Holman, Ceo/President(501) 224-0846
Specialties & taxonomies
Agencies
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
1623 E 42nd St
Texarkana, AR 71854-1894
Phone: (870) 772-0689
Street-level locationGet directions
Mailing address
10 Shackleford Plz Ste 102
Little Rock, AR 72211-1886
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is 1621 E 42 LLC's NPI number?
- 1621 E 42 LLC's National Provider Identifier (NPI) is 1437964244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1621 E 42 LLC?
- 1621 E 42 LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is 1621 E 42 LLC located?
- 1621 E 42 LLC's practice location on file with NPPES is 1623 E 42nd St, Texarkana, AR 71854-1894.
- What is 1621 E 42 LLC's phone number?
- The practice phone number listed in the NPPES registry for 1621 E 42 LLC is (870) 772-0689.
- Who is the authorized official for 1621 E 42 LLC?
- The authorized official listed on 1621 E 42 LLC's NPPES record is Edward Holman, Ceo/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1621 E 42 LLC's NPI active?
- Yes — 1621 E 42 LLC's NPI (1437964244) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.