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5 RESIDENTIAL LLC
NPI 1104398460
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Jonesboro, AR

Active since December 27, 2018
2209 GRANT AVE STE A, JONESBORO, AR 72401(870) 333-5300(870) 333-5301 Get Directions Write a Review

NPPES record last updated: December 27, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 5 Residential Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

5 RESIDENTIAL LLC (NPI 1104398460), doing business as 5 Res Detox, is a healthcare organization registered as a substance abuse treatment, children in Jonesboro, Arkansas and active in the NPI registry since December 2018. The organization lists Beau Hunter Eaves, Cfo, as its authorized official.

NPPES Registry Identity

NPI1104398460
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business Name5 RESIDENTIAL LLC
Location Address2209 GRANT AVE STE AJonesboro, AR 72401-6195
Mailing Address2209 Grant Ave Ste AJonesboro, AR 72401-6195
Phone(870) 333-5300
Fax(870) 333-5301
Organization SubpartNo
Authorized OfficialBeau Hunter EavesCfo · (870) 273-2096
Enumeration DateDecember 27, 2018
✔ NPI 1104398460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition

A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

2209 GRANT AVE STE A, Jonesboro, AR 72401
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Other Names 2

Doing Business As5 Res Detox
Former Legal Business Name5 Res Detox Llc

Frequently Asked Questions

What is 5 RESIDENTIAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1104398460, enumerated as an "organization" on December 27, 2018.

Where is the provider located?

The provider is located at 2209 GRANT AVE STE A JONESBORO, AR 72401 and the phone number is (870) 333-5300.

What is the provider's specialty?

Substance Abuse Rehabilitation Facility with taxonomy code 3245S0500X and a focus in Substance Abuse Treatment, Children.