# MADISON RESIDENTIAL CARE FACILITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Madison Health and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467780510
- **Authorized official:** MR. SY NIKSEFAT (OWNER)
- **Authorized official phone:** (501) 888-4080

## Contact information

- **Practice address:** 2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
- **Practice address phone:** (501) 888-4080
- **Practice address fax:** (501) 486-9119
- **Mailing address:** 2821 W DIXON RD, LITTLE ROCK, AR 72206-4256
- **Mailing address phone:** (501) 888-4080
- **Mailing address fax:** (501) 486-9119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 041 | AR | Yes |

## Other

- **Enumeration date:** 12/01/2009
- **Last updated:** 12/01/2009