Rebirth Center LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

REBIRTH CENTER LLC

Practice address

9023 W Hubbell St
Phoenix, AZ 85037-3882

Phone

(623) 440-1023

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Mark Stanley

Title

Agent

Phone

(602) 731-5188

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Grace Dosseh

  • Behavior Technician
  • Phoenix, AZ
  • NPI 1124774872
  NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1285386359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9023 W HUBBELL ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9023 W HUBBELL ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373882",
            "telephone_number": "623-440-1023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5008 W Glendale Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853012751",
            "country_code": "US",
            "telephone_number": "602-731-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REBIRTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "602-731-5188"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gracebp2020@gmail.com",
            "affiliation": "N",
            "endpointDescription": "gracebp2020@gmail.com",
            "address_1": "5008 W Glendale Ave # 130",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853012751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander David Rebchuk, MD, MSC
• Alanna M Rebecca, M.D.
• Marisa Rebeka, NP
• Rebel Care PLLC
• Natalie Kate Rebello
• Michael Rebuck
• Rebuilding Lives Step by Step
• Marcus Paaikiki Recarte II, LCSW
• Gisele A Rech Howard, LCSW
• Joshua Rafael Recinos-Almanza

• Substance Use Disorder Rehabilitation Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; 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.