Active NPI
Seaglass Az LLC
- Substance Abuse Rehabilitation Facility
- Prescott, AZ
National Provider Identifier
1003567207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SEAGLASS AZ LLC
- Practice address
- 707 W Gurley St
Prescott, AZ 86305-3621 - Phone
- (888) 468-3389
- NPI assigned
- Jan 10, 2022
- 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
- Bruce Worthington, MBA
- Title
- Director, Revenue Cycle Management
- Phone
- (561) 858-8263
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
707 W Gurley St
Prescott, AZ 86305-3621
Mailing address
1590 S Congress Ave
Palm Springs, FL 33406-5957
Phone (561) 858-8263
Other names 1
- Royal Life Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2042938 | Seaglass Az LLC | Certificate of waiver | Jun 21, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Royal Life Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Prescott, AZ
- NPI 1710638226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1003567207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 S CONGRESS AVE",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334065957",
"telephone_number": "561-858-8263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W GURLEY ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863053621",
"telephone_number": "888-468-3389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAGLASS AZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-10",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "WORTHINGTON",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "561-858-8263",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Royal Life Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Royal Life Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.