Organization Active NPI

Empower Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1356050066
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EMPOWER RECOVERY CENTER LLC
Practice address
4857 W Van Buren St Ste 250
Phoenix, AZ 85043-3850
Phone
(602) 284-7422
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Samiira Hussein
Title
Owner
Phone
(858) 405-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

4857 W Van Buren St Ste 250
Phoenix, AZ 85043-3850

Mailing address

4857 W Van Buren St Ste 250
Phoenix, AZ 85043-3850
Phone (858) 405-3442

National Provider Directory

National Provider Directory

Locations

4857 W Van Buren St
Ste 250
Phoenix, AZ 85043
Phone (602) 284-7422

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1356050066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4857 W VAN BUREN ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433850",
            "telephone_number": "858-405-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4857 W VAN BUREN ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850433850",
            "telephone_number": "602-284-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "SAMIIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-405-3442"
    },
    "taxonomies": [
        {
            "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 21, 2022; 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.