Organization Active NPI

Rivyve Behavioral Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Kingman, AZ
National Provider Identifier
1104687474
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RIVYVE BEHAVIORAL HEALTH, INC.
Doing business as
Rivyve Behavioral Health, Inc.
Practice address
3131 Western Ave
Kingman, AZ 86401-0951
Phone
(623) 236-4611
Fax
(928) 299-2096
NPI assigned
Jan 23, 2024
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVYVE BEHAVIORAL HEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mr. Christopher William Luciano
Title
Coo
Phone
(623) 236-4611

Specialties & licenses 1

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

Addresses

Primary practice location

3131 Western Ave
Kingman, AZ 86401-0951

Mailing address

2150 Silver Creek Rd
Bullhead City, AZ 86442-8472
Phone (623) 236-4611

Other names 1

  • Rivyve Behavioral Health, Inc. Doing business as

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
03D2303923Rivyve Behavioral Health, Inc3131 Western Ave, Kingman, AZ 86401Certificate of waiverMay 1, 2028

National Provider Directory

National Provider Directory
Tax ID family
Rivyve Behavioral Health Inc2 organizations share this tax ID, including this one
Part of
Rivyve Behavioral Health Inc

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": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1104687474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SILVER CREEK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428472",
            "telephone_number": "623-236-4611",
            "fax_number": "928-299-2906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 WESTERN AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864010951",
            "telephone_number": "623-236-4611",
            "fax_number": "928-299-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVYVE BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVYVE BEHAVIORAL HEALTH, INC.",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "LUCIANO",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "623-236-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivyve Behavioral Health, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingman, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.