NPIMap

Organization Active NPI

Scottsdale Recovery II, LLC

  • Substance Abuse Rehabilitation Facility
  • Scottsdale, AZ
National Provider Identifier
1366905549
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SCOTTSDALE RECOVERY II, LLC
Practice address
11024 N Miller Rd
Scottsdale, AZ 85260-6420
Phone
(602) 346-9142
NPI assigned
Apr 13, 2019
Organization subpart
Yes
Parent organization
SCOTTSDALE RECOVERY II, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Michelle Siwek
Title
Owner
Phone
(480) 699-9044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

11024 N Miller Rd
Scottsdale, AZ 85260-6420

Mailing address

PO Box 5943
Scottsdale, AZ 85261-5943
Phone (804) 667-7734

Other identifiers 1

IdentifierTypeStateIssuer
007383MedicaidAZ

Other names 2

  • SCOTTSDALE RECOVERY CENTER Doing business as
  • MILLER LOCATION Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2165378Scottsdale Recovery II LLC - Miller Residential11024 N Miller Road, Scottsdale, AZ 85260Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Scottsdale Recovery II LLC5 organizations share this tax ID, including this one
Part of
Scottsdale Recovery II LLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10227 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85253

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1366905549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5943",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852615943",
            "telephone_number": "804-667-7734",
            "fax_number": "480-739-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N MILLER RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606420",
            "telephone_number": "602-346-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE RECOVERY II, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTTSDALE RECOVERY II, LLC",
        "enumeration_date": "2019-04-13",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "SIWEK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-699-9044"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007383",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCOTTSDALE RECOVERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILLER LOCATION",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 20, 2025; 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.

Verify at the official NPI Registry.