Active NPI
Succeeding at Recovery LLC
- Substance Abuse Rehabilitation Facility
- Surprise, AZ
National Provider Identifier
1083254353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SUCCEEDING AT RECOVERY LLC
- Practice address
- 14407 W Desert Cove Rd
Surprise, AZ 85379-4335 - Phone
- (480) 320-0752
- NPI assigned
- Jan 14, 2020
- 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 Jarvie
- Title
- Cfo
- Phone
- (214) 379-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
14407 W Desert Cove Rd
Surprise, AZ 85379-4335
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300
Other names 1
- Emerald Isle Health and Recovery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1083254353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "214-379-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14407 W DESERT COVE RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853794335",
"telephone_number": "480-320-0752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUCCEEDING AT RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-14",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emerald Isle Health and Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.