Organization Active NPI

Fountain Hills Recovery, LLC

  • Psychiatric Residential Treatment Facility
  • Scottsdale, AZ
National Provider Identifier
1104455534
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
FOUNTAIN HILLS RECOVERY, LLC
Practice address
7210 E Dale LN
Scottsdale, AZ 85266-8120
Phone
(480) 476-8900
Fax
(480) 476-8901
NPI assigned
Apr 7, 2020
Organization subpart
Yes
Parent organization
FOUNTAIN HILLS RECOVERY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
John Salem
Title
Admin
Phone
(480) 476-8912

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7210 E Dale LN
Scottsdale, AZ 85266-8120

Mailing address

16872 E Avenue of the Fountains Ste 204
Fountain Hills, AZ 85268-8314
Phone (480) 476-8900

Other identifiers 1

IdentifierTypeStateIssuer
1245772482OtherAZSUBSTANCE ABUSE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2181307Fountain Hills Recovery7210 E Dale LN, Scottsdale, AZ 85266Certificate of waiverMar 30, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fountain Hills Recovery LLC2 organizations share this tax ID, including this one
Part of
Fountain Hills Recovery LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1104455534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16872 E AVENUE OF THE FOUNTAINS STE 204",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688314",
            "telephone_number": "480-476-8900",
            "fax_number": "480-476-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 E DALE LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852668120",
            "telephone_number": "480-476-8900",
            "fax_number": "480-476-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN HILLS RECOVERY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FOUNTAIN HILLS RECOVERY, LLC",
        "enumeration_date": "2020-04-07",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SALEM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "480-476-8912"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "1245772482",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.

Verify at the official NPI Registry.