Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eaglecrest Recovery LLC

Organization Substance Abuse Rehabilitation Facility · NPI 1003461955

Eaglecrest Recovery LLC is a Substance Abuse Rehabilitation Facility in Bentonville, Arkansas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1101 SW Coventry Blvd
Bentonville, AR 72712-4325
Phone: (479) 367-2691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X

Record details

NPI number1003461955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Hernandez — Ceo · (949) 813-5161
NPI enumeratedAugust 7, 2019
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address1101 Sw Coventry Blvd, Bentonville, AR 72712-4325

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