NPIMap

Organization Active NPI

Eaglecrest Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rogers, AR
National Provider Identifier
1922804970
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EAGLECREST RECOVERY LLC
Practice address
308 N 24TH St
Rogers, AR 72756-3295
Phone
(844) 439-7627
NPI assigned
Feb 20, 2025
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLECREST RECOVERY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
John Hernandez, LMFT
Title
Ceo
Phone
(949) 813-5161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

308 N 24TH St
Rogers, AR 72756-3295

Mailing address

308 N 24TH St
Rogers, AR 72756-3295
Phone (844) 439-7627

National Provider Directory

National Provider Directory
Tax ID family
Eaglecrest Recovery LLC6 organizations share this tax ID, including this one
Part of
Eaglecrest Recovery LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1803 Phyllis St
Ste 200
Bentonville, AR 72712

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1922804970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563295",
            "telephone_number": "844-439-7627",
            "fax_number": "479-367-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563295",
            "telephone_number": "844-439-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLECREST RECOVERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLECREST RECOVERY LLC",
        "enumeration_date": "2025-02-20",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-813-5161",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.