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EAGLECREST RECOVERY LLC
NPI 1306484860
Clinic/Center - Rehabilitation, Substance Use Disorder in Bentonville, AR

Active since December 16, 2019
1106 SW 2ND ST, BENTONVILLE, AR 72712(479) 367-2691(479) 367-2899 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 19, 2020, Dec 16, 2019 (2 updates tracked since 2019).

About Eaglecrest Recovery Llc NPPES

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

EAGLECREST RECOVERY LLC (NPI 1306484860) is a healthcare organization registered as a rehabilitation, substance use disorder in Bentonville, Arkansas and active in the NPI registry since December 2019. The organization lists Juan F Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306484860
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameEAGLECREST RECOVERY LLC
Location Address1106 SW 2ND STBentonville, AR 72712-5026
Mailing Address1101 Sw Coventry BlvdBentonville, AR 72712-4325 · (479) 367-2691 · Fax (479) 367-2899
Phone(479) 367-2691
Fax(479) 367-2899
Organization SubpartYes
Authorized OfficialJuan F HernandezCeo · (949) 813-5161
Enumeration DateDecember 16, 2019
Last NPPES UpdateMay 19, 20202 updates tracked since enumeration
NPPES CertifiedMay 19, 2020
✔ NPI 1306484860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
1106 SW 2ND ST, Bentonville, AR 72712
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 1306484860. It was assigned to this organization in the NPPES registry on December 16, 2019.

Where is Eaglecrest Recovery LLC located?

Eaglecrest Recovery LLC is located at 1106 SW 2nd St, 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 Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

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 May 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.