Active NPI
Fountain Hills Recovery, LLC
- Substance Abuse Rehabilitation Facility
- Fountain Hills, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- FOUNTAIN HILLS RECOVERY, LLC
- Practice address
- 16872 E Avenue of the Fountains
Suite 204
Fountain Hills, AZ 85268-8312 - Phone
- (800) 715-2004
- Fax
- (480) 476-8901
- NPI assigned
- Nov 4, 2016
- 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
- John Salem
- Title
- Owner
- Phone
- (800) 715-2004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
16872 E Avenue of the Fountains
Suite 204
Fountain Hills, AZ 85268-8312
Mailing address
16872 E Avenue of the Fountains
Suite 204
Fountain Hills, AZ 85268-8312
Phone (800) 715-2004
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2192870 | Fountain Hills Recovery | Certificate of waiver | Sep 14, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Fountain Hills Recovery LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Residential Treatment Facility
- Scottsdale, AZ
- NPI 1104455534
Locations
16872 E Avenue of the Fountains
Ste 204
Fountain Hills, AZ 85268
Phone (800) 715-2004
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Psychiatric Residential Treatment Facility
- Scottsdale, AZ
- NPI 1104455534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494374400000",
"number": "1245772482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16872 E AVENUE OF THE FOUNTAINS",
"address_2": "SUITE 204",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852688312",
"telephone_number": "800-715-2004",
"fax_number": "480-476-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16872 E AVENUE OF THE FOUNTAINS",
"address_2": "SUITE 204",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852688312",
"telephone_number": "800-715-2004",
"fax_number": "480-476-8901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNTAIN HILLS RECOVERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-04",
"last_updated": "2017-05-10",
"status": "A",
"authorized_official_last_name": "SALEM",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "800-715-2004"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Hills, AZ
- Fountain Hills Medical Center Urgent Care
- Fountain Hills Medical Clinic PC
- Fountain Hills Pediatrics and Internal Medicine PLC
- Fountain Hills Physical Therapy LLC
- Fountain Hills Primary Care LLC
- Fountain Hills Unified School District #98
- Fountain View Dental, Dana a. Weinreich, DDS, PC
- Stephanie Ruth Fowler, MS CCC-SLP
- Sophie Fredrickson
- Freedom Group II LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.