Active NPI
Excellence Recovery LLC
- Substance Abuse Rehabilitation Facility
- Buckeye, AZ
National Provider Identifier
1497420202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- EXCELLENCE RECOVERY LLC
- Practice address
- 21248 W Almeria Rd
Buckeye, AZ 85396 - Phone
- (623) 248-7092
- Fax
- (602) 445-9361
- NPI assigned
- Aug 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erik Holleman
- Title
- Member
- Phone
- (480) 438-1122
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
21248 W Almeria Rd
Buckeye, AZ 85396
Mailing address
21248 W Almeria Rd
Buckeye, AZ 85396
Phone (480) 438-1122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cari@excellencerecovery.co | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2251891 | Excellence Recovery | Certificate of waiver | Feb 6, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Kingman, AZ
- NPI 1760456032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1497420202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21248 W ALMERIA RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "85396",
"telephone_number": "480-438-1122",
"fax_number": "602-445-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21248 W ALMERIA RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "85396",
"telephone_number": "623-248-7092",
"fax_number": "602-445-9361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCELLENCE RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-13",
"last_updated": "2025-01-30",
"certification_date": "2021-09-09",
"status": "A",
"authorized_official_last_name": "HOLLEMAN",
"authorized_official_first_name": "ERIK",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "480-438-1122"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cari@excellencerecovery.co",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "21248 W Almeria Rd",
"city": "Buckeye",
"state": "AZ",
"country_code": "US",
"postal_code": "853962428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.