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JEREMIAH RECOVERY HOUSE, INC.
NPI 1366153454
Substance Abuse Rehabilitation Facility in Berryville, AR

Active since December 08, 2022
706 PARK ST, BERRYVILLE, AR 72616(870) 661-2099 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Jan 11, 2023, Dec 8, 2022 (3 updates tracked since 2022).

About Jeremiah Recovery House, Inc. NPPES

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

JEREMIAH RECOVERY HOUSE, INC. (NPI 1366153454), doing business as 29 11 Healing And Recovery Center, is a healthcare organization registered as a substance abuse rehabilitation facility in Berryville, Arkansas and active in the NPI registry since December 2022. The organization maintains a secondary practice location in Berryville and lists Vickie Poulson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366153454
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameJEREMIAH RECOVERY HOUSE, INC.
Location Address706 PARK STBerryville, AR 72616-3134
Mailing Address801 W Trimble AveBerryville, AR 72616-5101
Phone(870) 661-2099
Organization SubpartNo
Authorized OfficialVickie PoulsonCeo · (870) 716-9365
Enumeration DateDecember 8, 2022
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1366153454 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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
706 PARK ST, Berryville, AR 72616
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Other Names 1

Doing Business As29 11 Healing And Recovery Center

Secondary Practice Location 1

Location 1801 W Trimble AveBerryville, AR 72616-5101 · Phone (870) 716-9365

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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 Jeremiah Recovery House, Inc.'s NPI number?

The NPI number for Jeremiah Recovery House, Inc. is 1366153454. It was assigned to this organization in the NPPES registry on December 8, 2022. The provider is doing business as 29 11 Healing And Recovery Center.

Where is Jeremiah Recovery House, Inc. located?

Jeremiah Recovery House, Inc. is located at 706 Park St, Berryville, AR 72616. The listed phone number is (870) 661-2099.

What is Jeremiah Recovery House, Inc.'s specialty?

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

What insurance does Jeremiah Recovery House, Inc. accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Jeremiah Recovery House, Inc. 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 Jeremiah Recovery House, Inc. was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.