REJUVENATION (NPI# 1992941363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992941363 |
| Entity Type | Organization |
| Organization Name | REJUVENATION |
| Practice Address |
154 Huntsville Rd Eureka Springs AR 72632-9730 |
| Mailing Address |
1375 County Road 717 Berryville AR 72616-4462 |
| Practice Telephone | 8704385676 |
| Practice Fax Number | 8704385469 |
| Mailing Telephone | 8704385676 |
| Mailing Fax Number | 8704385469 |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |
| Authorized Official Name | PURMEALIA ALLEN (OWNER) |
| Authorized Official Telephone | 8704385676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | RejuveNation | 12205 Perry Street, Lot 216, Broomfield, CO 80020 |
| Oregon Corporations, Companies and Business Names | REJUVENATION & WELLNESS, LLC | 188 El Monte Street, Umatilla, OR 97882 |
| Washington State Corporations | REJUVENATION ACUPUNCTURE & WELLNESS CLINIC LLC | 148 Sw 166th Pl, Normandy Park, WA 98166-3542 |
| Iowa Business Entities | REJUVENATION ADVANCED AESTHETICS, LLC | 712 West Main Street, Manchester, IA 52057 |
| Oregon Corporations, Companies and Business Names | REJUVENATION ARTISANS LANDSCAPES LLC | 5010 Se 44th Ave, Portland, OR 97206 |
| Oregon Corporations, Companies and Business Names | REJUVENATION BY BLACK STONE | 2314 Nw Kings Blvd Suite B, Corvallis, OR 97330 |
| New York State Corporations | REJUVENATION BY IRINA INC | 2058 Cropsey Ave Apt 6-f, Brooklyn, Ny 11214 |
| Colorado Business Entities | Rejuvenation by Rhyna LLC | 3035 South Parker Road, Bldg. E Suite 560, Aurora, CO 80014 |
| Colorado Business Entities | Rejuvenation Center of the Rockies Ltd | 8599 Prairie Trail Dr, 600, Englewood, CO 80112 |
| Oregon Corporations, Companies and Business Names | REJUVENATION CONSTRUCTION LLC | 770 Ne Laurelhurst Pl, Portland, OR 97232 |
| Street Address |
154 HUNTSVILLE RD |
| City | EUREKA SPRINGS |
| State | AR |
| Zip Code | 72632-9730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265090518 | Behavioral Health Programs | Substance Abuse Rehabilitation Facility | 154 Huntsville Rd, Eureka Springs, AR 72632-9730 | 2019-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758349 | Rebecca S. Paul | Technician | 588 County Road 1486, Eureka Springs, AR 72632 | 2019-09-09 |
| 1134479272 | Jennifer A Henderson | Nurse Practitioner | 146 Passion Play Road, Eureka Springs, AR 72632 | 2012-09-17 |
| 1689969347 | Sherri Rae Plumlee | Technician/Technologist | 147 Greenwood Hollow, Eureka Springs, AR 72632 | 2011-06-10 |
| 1205084746 | Adam Marinus Louderback | Counselor | 107 Whispering Pines, Eureka Springs, AR 72632 | 2008-09-08 |
| 1043416373 | Christopher Stephen Baranyk | Family Medicine | 4052 E Vanburen, Ste A, Eureka Springs, AR 72632 | 2007-06-24 |
| 1609932656 | Jan Marie Quint | Chiropractor | 174 Huntsville Rd, Eureka Springs, AR 72632 | 2006-12-27 |
| 1386676781 | Tree of Life Chiropractic Inc | Chiropractor | 174 Huntsville Road, Eureka Springs, AR 72632 | 2006-07-07 |
| 1699702969 | Craig P Dinger | Family Medicine | 146 A Passion Play Road, Eureka Springs, AR 72632 | 2006-06-26 |
| 1184660532 | Debra L. Reid | Social Worker | 149 Huntsville Road, Suite B, Eureka Springs, AR 72632 | 2006-06-22 |
| 1437102662 | Washington Regional Medical System | Family Medicine | 146 A Passion Play Rd, Eureka Springs, AR 72632 | 2006-05-18 |
| Find all providers in zip 72632 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710445770 | Socal Detox, LLC | Substance Abuse Rehabilitation Facility | 1101 Sw Coventry Blvd, Bentonville, AR 72712-4325 | 2019-03-08 |
| 1104398460 | 5 Residential LLC | Substance Abuse Rehabilitation Facility | 2209 Grant Ave Ste A, Jonesboro, AR 72401-6195 | 2018-12-27 |
| 1528274552 | Capstone Treatment Center | Substance Abuse Rehabilitation Facility | 120 Meghan Ln, Judsonia, AR 72081-9302 | 2007-05-15 |
| City | EUREKA SPRINGS |
| Zip Code | 72632 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.