NPIMap

Organization Active NPI

Carleton Recovery Center, LLC

  • Community/Behavioral Health Agency
  • Prescott, AZ
National Provider Identifier
1104106418
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH-3908 Issued in AZ
Legal business name
CARLETON RECOVERY CENTER, LLC
Practice address
637 W Hillside Ave
Prescott, AZ 86301-1915
Phone
(928) 708-9615
Fax
(928) 708-9620
NPI assigned
Aug 18, 2011
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Mr. Fred Schaffner
Title
Cheif Financial Officer
Phone
(928) 778-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH-3908 AZ Primary

Addresses

Primary practice location

637 W Hillside Ave
Prescott, AZ 86301-1915

Mailing address

505 W. Whipple St.
Prescott, AZ 86301
Phone (928) 778-4600

National Provider Directory

National Provider Directory
Tax ID family
Carleton Recovery Centers LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1104106418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W. WHIPPLE ST.",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-778-4600",
            "fax_number": "928-778-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 W HILLSIDE AVE",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011915",
            "telephone_number": "928-708-9615",
            "fax_number": "928-708-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLETON RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SCHAFFNER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "928-778-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH-3908",
            "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 May 24, 2016; 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.