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

Eaglecrest Recovery LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1306484860

Eaglecrest Recovery LLC is a Substance Use Disorder Rehabilitation Clinic/Center 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.

See every abbreviation used in this directory →

Practice location Address checks out

1106 SW 2nd St
Bentonville, AR 72712-5026
Phone: (479) 367-2691
Fax: (479) 367-2899
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1306484860
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEaglecrest Recovery LLC
Authorized official Juan Hernandez — Ceo · (949) 813-5161
NPI enumeratedDecember 16, 2019
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020
Mailing address1101 Sw Coventry Blvd, Bentonville, AR 72712-4325