Indian Rock Village, LLC
NPI 1780633222 · Nursing Facility/Intermediate Care Facility · Fairfield Bay, AR
Indian Rock Village, LLC is a Nursing Facility/Intermediate Care Facility organization in Fairfield Bay, AR (NPI 1780633222).
Provider details
- NPI number
- 1780633222
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Edward Holman, President(501) 224-0846
- License
- 452 (AR)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2013-12-04
Frequently asked questions
- What is Indian Rock Village, LLC's NPI number?
- Indian Rock Village, LLC's National Provider Identifier (NPI) is 1780633222, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indian Rock Village, LLC?
- Indian Rock Village, LLC is classified in the NPPES registry as Nursing Facility/Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Indian Rock Village, LLC located?
- Indian Rock Village, LLC's practice location on file with NPPES is 265 Dave Creek Parkway, Fairfield Bay, AR 72088-3136.
- What is Indian Rock Village, LLC's phone number?
- The practice phone number listed in the NPPES registry for Indian Rock Village, LLC is (501) 884-3210.
- Who is the authorized official for Indian Rock Village, LLC?
- The authorized official listed on Indian Rock Village, LLC's NPPES record is Edward Holman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indian Rock Village, LLC's NPI active?
- Yes — Indian Rock Village, LLC's NPI (1780633222) is active in the NPPES registry as of the last update on 2013-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.