Active NPI
Second Light Recovery LLC
- Substance Abuse Rehabilitation Facility
- Surprise, AZ
National Provider Identifier
1336007574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SECOND LIGHT RECOVERY LLC
- Practice address
- 16036 N 159TH LN
Surprise, AZ 85374-5864 - Phone
- (602) 892-4940
- NPI assigned
- Jan 15, 2026
- 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
- Tony Renello
- Title
- Consultant
- Phone
- (480) 606-8602
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
16036 N 159TH LN
Surprise, AZ 85374-5864
Mailing address
16036 N 159TH LN
Surprise, AZ 85374-5864
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Sun City West, AZ
- NPI 1780176271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773100800000",
"number": "1336007574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16036 N 159TH LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16036 N 159TH LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853745864",
"telephone_number": "602-892-4940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SECOND LIGHT RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-15",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A",
"authorized_official_last_name": "RENELLO",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "480-606-8602"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
- Keesha Scott
- Mary Michelle Scott, RN
- Sdancel Management Services, LLC (Golden Care Assisted Living)
- Sdancel Management Services, LLC (Arizona Comfort Care-Surprise)
- SE Surprise Opco, LLC (Sante of Surprise)
- Deborah Secunda, LPN
- Robyn E See, ATC
- Justin Segotta, ATC
- Brooke Seiber
- Willie Sellers, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.