OrganizationActive
Creative Housing Iii-Mt Holly
NPI 1952427569 · Intellectual Disabilities Intermediate Care Facility · El Dorado, AR
Provider details
- NPI number
- 1952427569
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Barbara Staggs, Business Manager(870) 863-8194
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1215 Mount Holly Rd
El Dorado, AR 71730-4236
Phone: (870) 863-8194
Fax: (870) 881-4600
Street-level locationGet directions
Mailing address
714 W Grove St
El Dorado, AR 71730-4416
Registry dates
- Enumerated
- 2007-03-22
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.