Organization Active NPI

Thundermaker BHRF LLC

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
National Provider Identifier
1033917273
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
THUNDERMAKER BHRF LLC
Practice address
2008 Northside Dr
Prescott, AZ 86301-1043
Phone
(608) 432-1327
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Addison Howard
Title
Coo
Phone
(928) 493-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2008 Northside Dr
Prescott, AZ 86301-1043

Mailing address

2008 Northside Dr
Prescott, AZ 86301-1043
Phone (608) 432-1327

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1033917273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 NORTHSIDE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011043",
            "telephone_number": "608-432-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 NORTHSIDE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011043",
            "telephone_number": "608-432-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERMAKER BHRF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ADDISON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "928-493-4300"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2025; 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.