RHR E Covina Operator LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RHR E COVINA OPERATOR LLC

Doing business as

Restored Hope Recovery

Practice address

11354 E Covina St
Mesa, AZ 85207-1713

Phone

(602) 616-0266

NPI assigned

Nov 4, 2024

Last updated

Nov 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jefferson OlsonNPI 1497095129

Title

Ceo/Administrator

Phone

(602) 616-0266

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Restored Hope Recovery Doing business as

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

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jefferson Oren Olson, PTA

  • Physical Therapy Assistant
  • Gilbert, AZ
  • NPI 1497095129
  NPD Authorized official

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1407679897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11354 E COVINA ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071713",
            "telephone_number": "602-616-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11354 E COVINA ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071713",
            "telephone_number": "602-616-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHR E COVINA OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "602-616-0266"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH10304",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D2310944",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restored Hope Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill C Rhode, SLP
• Abigail Rhodeman, PT, DPT
• Courtney Rhodes
• Yvette Pena Rhodes, RN
• Philip Robert Rhoton, PSYD
• Deborah Lynne Ricci
• Anita Jo Rice, PSY.D., LMFT
• Celest Rice
• Elizabeth G.a. Rice, N.D.
• Nicholas Rice

• Substance Abuse Rehabilitation Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.

Verify at the official NPI Registry.