Core Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CORE RECOVERY LLC

Practice address

16515 S 40TH St Ste 119B
Phoenix, AZ 85048-0559

Phone

(602) 810-1210

Fax

(480) 247-5625

NPI assigned

Oct 30, 2023

Organization subpart

No

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

Authorized official

Name

Jaime Bogovich

Title

Operations

Phone

(518) 698-3757

Specialties & licenses 2

Addresses

Tax ID family

Core Recovery LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Core Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Suprise, AZ
  • NPI 1164123097
  NPD tax ID

Locations

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1073386355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "602-810-1210",
            "fax_number": "480-247-5625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 S 40TH ST STE 119B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480559",
            "telephone_number": "602-810-1210",
            "fax_number": "480-247-5625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BOGOVICH",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "518-698-3757"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corrie A Cordrey, OTR
• Benjamin Cordy
• Core Health Care Inc
• Core Health Services, Inc
• Core Medical Group Inc
• Core Recovery LLC
• Amber Nicole Core, RD
• Gary J Core, DDS
• Corebella Health and Wellness LLC
• Karla Corella Velarde

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.