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

Q: What is 5 Residential LLC's NPI number?

The NPI number for 5 Residential LLC is 1104398460. It was assigned to this organization in the NPPES registry on December 27, 2018. The provider is doing business as 5 res detox. The provider was formerly known as 5 Res Detox LLC.

Q: What is 5 Residential LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Q: When was this NPI record last updated?

The NPPES record for 5 Residential LLC was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

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: August 16, 2026.

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 5 Residential LLC's NPI number?

The NPI number for 5 Residential LLC is 1104398460. It was assigned to this organization in the NPPES registry on December 27, 2018. The provider is doing business as 5 res detox. The provider was formerly known as 5 Res Detox LLC.

Where is 5 Residential LLC located?

5 Residential LLC is located at 2209 Grant Ave Ste A, Jonesboro, AR 72401. The listed phone number is (870) 333-5300.

What is 5 Residential LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for 5 Residential LLC was last updated on December 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.