Active NPI
Pathfinders Recovery Center, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Scottsdale, AZ
National Provider Identifier
1275079279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- PATHFINDERS RECOVERY CENTER, LLC
- Practice address
- 7580 E Gray Rd
Suite 201
Scottsdale, AZ 85260 - Phone
- (480) 674-7404
- Fax
- (480) 718-7374
- NPI assigned
- Jan 13, 2017
- Last updated
- Jul 29, 2024
- 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
- Bruce Jarvie
- Title
- VP, Treasurer
- Phone
- (214) 379-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
7580 E Gray Rd
Suite 201
Scottsdale, AZ 85260
Mailing address
1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 082987 | Medicaid | AZ |
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 |
|---|---|---|---|
| 03D2124542 | Pathfinders Recovery Center | Certificate of waiver | Jan 18, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Pathfinders Recovery Center LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Scottsdale, AZ
- NPI 1316583230
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Scottsdale, AZ
- NPI 1477331627
Locations
7600 E Redfield Rd
Ste A105
Scottsdale, AZ 85260
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.
-
- Substance Abuse Rehabilitation Facility
- Scottsdale, AZ
- NPI 1316583230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1275079279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 LAKEPOINTE DR STE 117",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750576425",
"telephone_number": "214-379-3300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7580 E GRAY RD",
"address_2": "SUITE 201",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85260",
"telephone_number": "480-674-7404",
"fax_number": "480-718-7374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHFINDERS RECOVERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-13",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A",
"authorized_official_last_name": "JARVIE",
"authorized_official_first_name": "BRUCE",
"authorized_official_title_or_position": "VP, TREASURER",
"authorized_official_telephone_number": "214-379-3300"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082987",
"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 Jul 29, 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.