Arizona Recovery Center, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ARIZONA RECOVERY CENTER, INC

Practice address

84 Acoma Blvd N Ste 104
Lake Havasu City, AZ 86403-6096

Phone

(928) 351-3030

NPI assigned

Apr 10, 2019

Organization subpart

No

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

Authorized official

Name

Emily Vona, FNP-CNPI 1386047850

Title

Nurse Practitoner/Owner

Phone

(289) 733-5101

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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 2

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

• Emily E Vona, FNP-C

  • Addiction Medicine (Family Medicine) Physician
  • Lake Havasu City, AZ
  • NPI 1386047850

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD Authorized official
• Kristen L Long, LPC, CACII

  • Mental Health Counselor
  • Lake Havasu City, AZ
  • NPI 1275808883
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1699238279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ACOMA BLVD N STE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036096",
            "telephone_number": "928-733-5101",
            "fax_number": "928-235-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ACOMA BLVD N STE 104",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036096",
            "telephone_number": "928-351-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-10",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "VONA",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "NURSE PRACTITONER/OWNER",
        "authorized_official_telephone_number": "289-733-5101",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.