EAGLECREST RECOVERY LLC
NPI 1003461955
Substance Abuse Rehabilitation Facility in Bentonville, AR
About Eaglecrest Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAGLECREST RECOVERY LLC (NPI 1003461955) is a healthcare organization registered as a substance abuse rehabilitation facility in Bentonville, Arkansas and active in the NPI registry since August 2019. The organization holds 3 active CLIA laboratory certificates and lists John Hernandez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 3
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D2171476
Eaglecrest Recovery LLC · Bentonville, ARCertificate of Waiver 04D2188926
Eaglecrest Recovery LLC · Rogers, ARCertificate of Waiver 04D2256387
Eaglecrest Recovery LLC · Bentonville, AROther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BENTONVILLE, AR 72712
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eaglecrest Recovery LLC's NPI number?
The NPI number for Eaglecrest Recovery LLC is 1003461955. It was assigned to this organization in the NPPES registry on August 7, 2019.
Where is Eaglecrest Recovery LLC located?
Eaglecrest Recovery LLC is located at 1101 SW Coventry Blvd, Bentonville, AR 72712. The listed phone number is (479) 367-2691.
What is Eaglecrest Recovery LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Eaglecrest Recovery LLC hold CLIA laboratory certificates?
Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Eaglecrest Recovery LLC accept?
Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Eaglecrest Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eaglecrest Recovery LLC was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eaglecrest Recovery Llc · NPI 1003461955
Substance Abuse Rehabilitation Facility organization in Bentonville, Arkansas. Organization record, active in the CMS NPPES registry since August 7, 2019.
## Identity
- **NPI:** 1003461955 (Entity type: Organization)
- **Enumerated:** August 7, 2019
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** John Hernandez, CEO
## Practice location
- **Address:** 1101 SW COVENTRY BLVD, Bentonville, AR 72712-4325
- **Phone:** (479) 367-2691
## Record status
- **NPPES last updated:** September 2, 2021
- **CLIA laboratory certificates:** 3 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003461955) · Data from the CMS NPPES public registry.