Rejuvenation

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

REJUVENATION

Practice address

154 Huntsville Rd
Eureka Springs, AR 72632-9730

Phone

(870) 438-5676

Fax

(870) 438-5469

NPI assigned

Jan 6, 2009

Organization subpart

No

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

Authorized official

Name

Purmealia Allen

Title

Owner

Phone

(870) 438-5676

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1992941363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 COUNTY ROAD 717",
            "city": "BERRYVILLE",
            "state": "AR",
            "postal_code": "726164462",
            "telephone_number": "870-438-5676",
            "fax_number": "870-438-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 HUNTSVILLE RD",
            "city": "EUREKA SPRINGS",
            "state": "AR",
            "postal_code": "726329730",
            "telephone_number": "870-438-5676",
            "fax_number": "870-438-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REJUVENATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "PURMEALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-438-5676"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Substance Abuse Rehabilitation Facility in Eureka Springs, AR
• Providers in Eureka Springs, AR by specialty
• Children's Substance Abuse Rehabilitation Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.