NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

5 Residential LLC

Children's Substance Abuse Rehabilitation Facility in Jonesboro, AR · enumerated 2018 · authorized official Beau Eaves, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104398460

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name 5 Residential LLC
Practice address 2209 Grant Ave Ste A, Jonesboro, AR, 72401
Fax (870) 333-5301
Enumeration date Dec 27, 2018
Last updated in NPPES Dec 27, 2018

Taxonomy & classification

3245S0500X Children's Substance Abuse Rehabilitation Facility Residential Treatment Facilities Primary

Authorized official

Name Beau Eaves
Title Cfo

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is 5 Residential LLC?
5 Residential LLC is registered in NPPES as a Children's Substance Abuse Rehabilitation Facility (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-12-27.