Recovery Center of America LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

RECOVERY CENTER OF AMERICA LLC

Practice address

5216 E Diatomite Dr
San Tan Valley, AZ 85143-5780

Phone

(480) 352-7441

NPI assigned

Mar 22, 2023

Organization subpart

No

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

Authorized official

Name

Edmond Elinge Mosima

Title

Member

Phone

(480) 352-7441

Specialties & licenses 1

Addresses

Other names 1

• RECOVERY CENTER OF AMERICA LLC Doing business as

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

{
    "created_epoch": "1679443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1437852175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 E ASTER LN",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851327183",
            "telephone_number": "480-352-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5216 E DIATOMITE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435780",
            "telephone_number": "480-352-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY CENTER OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "MOSIMA",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "ELINGE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-352-7441"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RECOVERY CENTER OF AMERICA LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.