Civitan Center

Civitan Center is a healthcare organization registered as Developmentally Disabled Services Day Training Agency in Benton, AR, holding Type 2 (organization) NPI 1508917295 since 2007. The authorized official on file is Leah Henderson, Executive Director.

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NPI 1508917295
Entity type Organization (Type 2)
Legal business name Civitan Center
Other name <Unavail>
Practice address 121 SOUTH COX STREET, 121 SOUTH COX STREET, Benton, AR, 72018
Phone 5017760691
Fax 5017760692
Enumeration date 2007-01-16
Last updated in NPPES 2014-03-10

Authorized official

Name Leah Henderson
Title Executive Director
Phone 5017760691

Taxonomy & classification

Taxonomy code Specialty Primary License State
251C00000X Developmentally Disabled Services Day Training Agency Primary AR

Other identifiers

Identifier Type State Issuer
105505724 Medicaid AR
120140715 Medicaid AR
116454742 Medicaid AR
131841774 Medicaid AR
125972767 Medicaid AR
132537786 Other AR STATE NONMEDICAID
Copy-ready billing details
Provider: Civitan Center
NPI: 1508917295
Taxonomy: 251C00000X (Developmentally Disabled Services Day Training Agency)
Address: 121 SOUTH COX STREET, 121 SOUTH COX STREET, Benton, AR, 72018

Verify this record

Cross-check NPI 1508917295 against the authoritative CMS record: view Civitan Center on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Civitan Center?
Civitan Center is registered in NPPES as a Developmentally Disabled Services Day Training Agency (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2014-03-10.