Restaura Arkansas LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RESTAURA ARKANSAS LLC

Practice address

1301 Ridgway Rd Ste 1C
Pine Bluff, AR 71603-7610

Phone

(870) 395-7341

NPI assigned

Jul 10, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abigail StollNPI 1396010492

Title

Authorized Official

Phone

(801) 518-4929

Specialties & licenses 2

Addresses

Other names 1

• Cross Hope by RestAura Doing business as

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trisha E Blair, CNP

  • Family Nurse Practitioner
  • Pine Bluff, AR
  • NPI 1225503642

  AR

  Medicare reassignment Care Compare group NPD
• Hillary Green, LCSW

  • Mental Health Counselor
  • Pine Bluff, AR
  • NPI 1912636861

  AR

  Medicare reassignment Care Compare group NPD
• Edison Sullivan, LPC

  • Mental Health Counselor
  • Van Buren, AR
  • NPI 1346056413

  AR

  Medicare reassignment Care Compare group NPD
• Tuvia Breuer, D.O

  • Psychiatry Physician
  • Glen Oaks, NY
  • NPI 1467665703

  AR

  Medicare reassignment Care Compare group NPD
• Pamela Hughey, APN

  • Family Nurse Practitioner
  • North Little Rock, AR
  • NPI 1366839136

  AR

  Medicare reassignment Care Compare group
• Abigail Stoll, OTR/L

  • Occupational Therapist
  • Lawrence, NY
  • NPI 1396010492
  NPD Authorized official
• Connie Taute, LPC, AADC, LADAC

  • Professional Counselor
  • El Dorado, AR
  • NPI 1801365937

  AR

  Medicare reassignment
• Daniel Stuart Solganik, LISW

  • Clinical Social Worker
  • Cleveland, OH
  • NPI 1033570080
  NPD
• Derwin Clark

  • Addiction (Substance Use Disorder) Counselor
  • Pine Bluff, AR
  • NPI 1508231085
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1104663889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIDGWAY RD STE 1C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037610",
            "telephone_number": "870-395-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIDGWAY RD STE 1C",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716037610",
            "telephone_number": "870-395-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTAURA ARKANSAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "801-518-4929"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Hope by RestAura",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regin John Reginio, PT
• Faiz Ur Rehman, MD
• Elizabeth S Reid, LSW ACADC
• Alexander Ashley Rejistre, D.C.
• Remedy Health and Wellness PLLC
• Katherine Reynolds
• Michele L Reynolds, ANP
• Tina Marie Reynolds
• RGD Enterprises Inc
• Cornelia Rhodes, APRN-CNP

• All providers in Pine Bluff, AR
• Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.