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

Jeremiah Recovery House, Inc

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1366153454

Jeremiah Recovery House, Inc is a Substance Use Disorder Rehabilitation Clinic/Center in Berryville, Arkansas. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

706 Park St
Berryville, AR 72616-3134
Phone: (870) 661-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 801 W Trimble Ave, Berryville, AR 72616-5101 — (870) 716-9365

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1366153454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Poulson — Ceo · (870) 716-9365
Other names 29 11 Healing And Recovery Center
NPI enumeratedDecember 8, 2022
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025
Mailing address801 W Trimble Ave, Berryville, AR 72616-5101