RESTAURA ARKANSAS LLC
NPI 1104663889
Substance Abuse Rehabilitation Facility in Pine Bluff, AR

Active since July 10, 2024
1301 RIDGWAY RD STE 1C, PINE BLUFF, AR 71603(870) 395-7341 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2026, May 12, 2025, Apr 10, 2025 and 5 more (8 updates tracked since 2024).

About Restaura Arkansas Llc NPPES

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

RESTAURA ARKANSAS LLC (NPI 1104663889), doing business as Cross Hope By Restaura, is a healthcare organization registered as a substance abuse rehabilitation facility in Pine Bluff, Arkansas and active in the NPI registry since July 2024. The organization lists Abigail Stoll, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1104663889
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameRESTAURA ARKANSAS LLC
Location Address1301 RIDGWAY RD STE 1CPine Bluff, AR 71603-7610
Mailing Address1301 Ridgway Rd Ste 1cPine Bluff, AR 71603-7610 · (870) 395-7341
Organization SubpartNo
Authorized OfficialAbigail StollAuthorized Official · (801) 518-4929
Enumeration DateJuly 10, 2024
Last NPPES UpdateJuly 9, 20268 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1104663889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1301 RIDGWAY RD STE 1C, Pine Bluff, AR 71603

Other Names 1

Doing Business AsCross Hope By Restaura

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Restaura Arkansas Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Restaura Arkansas LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Clinical Social Worker
NPI 1912636861
1301 RIDGWAY RD
Pine Bluff, AR 71603
(870) 395-7341
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1225503642
3103 S TAFT ST
Pine Bluff, AR 71603
(870) 329-3028
✔ PECOS✔ Accepts Medicare3.1 mi
Nurse Practitioner
NPI 1366839136
5201 NORTHSHORE DR
North Little Rock, AR 72118
(501) 748-8000
✔ PECOS✔ Accepts Medicare48 mi
Mental Health Counselor
NPI 1801365937
715 N COLLEGE AVE
El Dorado, AR 71730
(870) 862-7921
✔ PECOS✔ Accepts Medicare76 mi
Mental Health Counselor
NPI 1346056413
3909 HIGHWAY 282
Van Buren, AR 72956
(479) 242-1003
✔ PECOS✔ Accepts Medicare159 mi
Psychiatry
NPI 1467665703
7559 263RD ST
Glen Oaks, NY 11004
(718) 470-8014
✔ PECOS✔ Accepts Medicare1,101 mi
Family Practice
NPI 1003077322
7 CREEK LN
Bristol, RI 02809
(718) 964-6161
✔ PECOS✔ Accepts Medicare1,242 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Restaura Arkansas LLC's NPI number?

The NPI number for Restaura Arkansas LLC is 1104663889. It was assigned to this organization in the NPPES registry on July 10, 2024. The provider is doing business as Cross Hope by RestAura.

Where is Restaura Arkansas LLC located?

Restaura Arkansas LLC is located at 1301 Ridgway Rd Ste 1C, Pine Bluff, AR 71603. The listed phone number is (870) 395-7341.

What is Restaura Arkansas LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Is Restaura Arkansas LLC enrolled in Medicare?

Yes. Restaura Arkansas LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Restaura Arkansas LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Restaura Arkansas LLC, in Clinical Social Worker, Family Practice, Mental Health Counselor, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Restaura Arkansas LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Restaura Arkansas 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 Restaura Arkansas LLC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.