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EAGLECREST RECOVERY LLC
NPI 1336817949
Substance Abuse Rehabilitation Facility in Bentonville, AR

Active since August 31, 2021
1101 SW COVENTRY BLVD, BENTONVILLE, AR 72712(760) 521-2653 Get Directions Write a Review

NPPES record last updated: September 2, 2021. 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 1336817949) is a healthcare organization registered as a substance abuse rehabilitation facility in Bentonville, Arkansas and active in the NPI registry since August 2021. The organization maintains a secondary practice location in Bentonville and lists Juan F Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336817949
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEAGLECREST RECOVERY LLC
Location Address1101 SW COVENTRY BLVDBentonville, AR 72712-4325
Mailing AddressPo Box 1728Bentonville, AR 72712-1728 · (760) 521-2653
Phone(760) 521-2653
Organization SubpartNo
Authorized OfficialJuan F HernandezCeo · (949) 813-5161
Enumeration DateAugust 31, 2021
Last NPPES UpdateSeptember 2, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1336817949 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.
1101 SW COVENTRY BLVD, Bentonville, AR 72712
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Secondary Practice Location 1

Location 11106 SW Coventry BlvdBentonville, AR 72712-4325 · Phone (760) 521-2653

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAGLECREST RECOVERY LLC
Substance Abuse Rehabilitation Facility
1101 SW COVENTRY BLVD
BENTONVILLE, AR 72712
Benton County (479) 367-2691
LAURA LOWERY FNP
Nurse Practitioner (Family)
1101 SW COVENTRY BLVD
BENTONVILLE, AR 72712
Benton County (844) 439-7627

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 1336817949. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Eaglecrest Recovery LLC located?

Eaglecrest Recovery LLC is located at 1101 SW Coventry Blvd, Bentonville, AR 72712. The listed phone number is (760) 521-2653.

What is Eaglecrest Recovery LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Eaglecrest Recovery LLC was last updated on September 2, 2021. 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.