Organization Active NPI

Power Recovery Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1225618341
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
POWER RECOVERY CENTER, LLC
Practice address
1137 W McDowell Rd
Phoenix, AZ 85007-1747
Phone
(480) 572-8189
Fax
(480) 546-3376
NPI assigned
Apr 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Titus Kimani
Title
Owner
Phone
(858) 386-6705

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1137 W McDowell Rd
Phoenix, AZ 85007-1747

Mailing address

5625 W Euclid Ave
Laveen, AZ 85339-5247
Phone (858) 386-6705

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1225618341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 W EUCLID AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395247",
            "telephone_number": "858-386-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071747",
            "telephone_number": "480-572-8189",
            "fax_number": "480-546-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "KIMANI",
        "authorized_official_first_name": "TITUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-386-6705"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.