EAGLECREST RECOVERY LLC
NPI 1174252985
Substance Abuse Rehabilitation Facility in Springdale, AR

Active since June 07, 2022CLIA 04D2273446 · Waiver
19965 LAKEVIEW RD, SPRINGDALE, AR 72764(949) 813-5161 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eaglecrest Recovery Llc NPPES

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

EAGLECREST RECOVERY LLC (NPI 1174252985) is a healthcare organization registered as a substance abuse rehabilitation facility in Springdale, Arkansas and active in the NPI registry since June 2022. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Juan F Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174252985
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEAGLECREST RECOVERY LLC
Location Address19965 LAKEVIEW RDSpringdale, AR 72764-8892
Mailing AddressPo Box 1728Bentonville, AR 72712-1728 · (760) 521-2653
Organization SubpartNo
Authorized OfficialJuan F HernandezCeo · (949) 813-5161
Enumeration DateJune 7, 2022
NPPES CertifiedJune 7, 2022
NPI 1174252985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
19965 LAKEVIEW RD, Springdale, AR 72764

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 04D2273446

Eaglecrest Recovery LLC · Springdale, AR
Active · expires Dec 12, 2026
CLIA Number04D2273446
Laboratory TypeResident Drug & Alcohol
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorDr. Jacob Boydstun
Laboratory Phone(479) 685-7374
Laboratory LocationEaglecrest Recovery LLC19965 Lakeview Rd, Springdale, AR 72764
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1174252985. It was assigned to this organization in the NPPES registry on June 7, 2022.

Where is Eaglecrest Recovery LLC located?

Eaglecrest Recovery LLC is located at 19965 Lakeview Rd, Springdale, AR 72764. The listed phone number is (949) 813-5161.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2273446) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 2 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 June 7, 2022. 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.