EAGLECREST RECOVERY LLC
NPI 1922804970
Clinic/Center - Rehabilitation, Substance Use Disorder in Rogers, AR

NPI Status: Active since February 20, 2025

Contact Information

308 N 24TH ST
ROGERS, AR
ZIP 72756
Phone: (844) 439-7627

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder

About EAGLECREST RECOVERY LLC

This page provides the complete NPI Profile along with additional information for Eaglecrest Recovery Llc, a provider established in Rogers, Arkansas operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1922804970 assigned on February 2025. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated June 2025. The authorized official of this NPI record is Juan F Hernandez (Ceo)

NPI
1922804970
Provider Name
EAGLECREST RECOVERY LLC
Entity Type
Organization
Location Address
308 N 24TH ST ROGERS, AR 72756
Location Phone
(844) 439-7627
Mailing Address
1803 PHYLLIS ST STE 200 BENTONVILLE, AR 72712
Mailing Phone
(844) 439-7627
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-20-2025
Last Update Date
06-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUAN F HERNANDEZ

Authorized Official Title
CEO
Authorized Official Phone
(949) 813-5161

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922804970
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29421608914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 1 + 6 + 0 + 8 + 9 + 1 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1922804970 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194556753 JAMES DARREL BRYARS LCSW
Individual
Social Worker (Clinical)308 N 24TH ST
ROGERS, AR 72756
(870) 654-5790

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922804970, enumerated in the NPI registry as an "organization" on February 20, 2025

The provider is located at 308 N 24th St Rogers, Ar 72756 and the phone number is (844) 439-7627

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

This NPI record was last updated on February 20, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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