Active NPI
The Camp Recovery Center, LLC
Doing business as Camp Recovery Center
- Substance Abuse Rehabilitation Facility
- Scotts Valley, CA
National Provider Identifier
1215368485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 440011BP
- Legal business name
- THE CAMP RECOVERY CENTER, LLC
- Doing business as
- Camp Recovery Center
- Practice address
- 3192 Glen Canyon Rd
Scotts Valley, CA 95066-4916 - Phone
- (831) 227-2425
- NPI assigned
- Dec 12, 2013
- 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
- Brian Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 440011BP | CA | Primary |
Addresses
Primary practice location
3192 Glen Canyon Rd
Scotts Valley, CA 95066-4916
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ0432Z | Other | CA | BLUE SHIELD |
Other names 1
- Camp Recovery Center
National Provider Directory
National Provider Directory- Tax ID family
- Azure Acres Recovery Center
Other organizations with this tax ID 7
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Azure Acres Recovery Center
- Substance Abuse Rehabilitation Facility
- Sebastopol, CA
- NPI 1043843899
-
dba Azure Acres Recovery Center
- Substance Abuse Rehabilitation Facility
- Sebastopol, CA
- NPI 1568517050
-
dba Camp Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Scotts Valley, CA
- NPI 1700437043
-
dba Camp Recovery Center
- Substance Abuse Rehabilitation Facility
- Scotts Valley, CA
- NPI 1972685196
-
dba Azure Acres Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Sebastopol, CA
- NPI 1003383209
-
dba Camp Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Campbell, CA
- NPI 1043787245
-
dba Azure Acres Recovery Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Sacramento, CA
- NPI 1811464019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1215368485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 ASPEN GROVE DR STE 900",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370673134",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3192 GLEN CANYON RD",
"city": "SCOTTS VALLEY",
"state": "CA",
"postal_code": "950664916",
"telephone_number": "831-227-2425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE CAMP RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-12",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "CA",
"license": "440011BP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ0432Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Camp Recovery Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Scotts Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.