Active NPI
Sound Recovery Center, LLC
- Community/Behavioral Health Agency
- Puyallup, WA
National Provider Identifier
1003150202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NT00001624
- Legal business name
- SOUND RECOVERY CENTER, LLC
- Practice address
- 201 Valley Ave NW
A
Puyallup, WA 98371-3305 - Phone
- (253) 848-3363
- NPI assigned
- Nov 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Luchini
- Title
- Accounts Manager
- Phone
- (928) 533-4220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NT00001624 | WA | Primary |
Addresses
Primary practice location
201 Valley Ave NW
A
Puyallup, WA 98371-3305
Mailing address
201 Valley Ave NW
A
Puyallup, WA 98371-3305
National Provider Directory
National Provider DirectoryLocations
201 Valley Ave NW
Ste A
Puyallup, WA 98371
Phone (253) 848-3363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352678400000",
"number": "1003150202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 VALLEY AVE NW",
"address_2": "A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983713305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 VALLEY AVE NW",
"address_2": "A",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983713305",
"telephone_number": "253-848-3363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUND RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-12",
"last_updated": "2012-11-12",
"status": "A",
"authorized_official_last_name": "LUCHINI",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "928-533-4220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "WA",
"license": "NT00001624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.