NPIMap

Organization Active NPI

Royal Life Centers, LLC

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
National Provider Identifier
1427581941
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH5136 Issued in AZ
Legal business name
ROYAL LIFE CENTERS, LLC
Practice address
818 W Gurley St
Prescott, AZ 86305-3624
Phone
(877) 732-6837
Fax
(800) 871-3317
NPI assigned
Apr 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Mr. Eric Andrews
Title
Director of Quality Assurance
Phone
(928) 379-3097

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC8178 AZ
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X OTC8179 AZ
Substance Abuse Rehabilitation Facility 324500000X BH5136 AZ Primary
Substance Abuse Rehabilitation Facility 324500000X BH5137 AZ

Addresses

Primary practice location

818 W Gurley St
Prescott, AZ 86305-3624

Mailing address

661 S Swinton Ave
Suite a
Delray Beach, FL 33444-3576
Phone (954) 304-3047

Other names 1

  • Chapter 5 Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chapter 5 Counseling3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1427581941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 S SWINTON AVE",
            "address_2": "SUITE A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443576",
            "telephone_number": "954-304-3047",
            "fax_number": "800-871-3317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W GURLEY ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053624",
            "telephone_number": "877-732-6837",
            "fax_number": "800-871-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL LIFE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "928-379-3097",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC8178",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AZ",
            "license": "OTC8179",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH5136",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH5137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chapter 5 Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.