Active NPI
Arcadia Recovery Center
Doing business as Black Rock Recovery
- Substance Abuse Rehabilitation Facility
- Sparks, NV
National Provider Identifier
1700265089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ARCADIA RECOVERY CENTER
- Doing business as
- Black Rock Recovery
- Practice address
- 1188 Victorian Plaza Cir
Sparks, NV 89431-4943 - Phone
- (800) 535-9041
- Fax
- (877) 898-8799
- NPI assigned
- May 20, 2015
- Last updated
- May 20, 2015
- 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
- Mr. Dustin Long, RAS
- Title
- Ceo
- Phone
- (801) 709-9419
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NV | ||
| Psychiatric Hospital | 283Q00000X | NV | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NV | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1188 Victorian Plaza Cir
Sparks, NV 89431-4943
Mailing address
1188 Victorian Plaza Cir
Sparks, NV 89431-4943
Phone (800) 535-9041
Other names 1
- Black Rock Recovery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432080000000",
"number": "1700265089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 VICTORIAN PLAZA CIR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894314943",
"telephone_number": "800-535-9041",
"fax_number": "877-898-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 VICTORIAN PLAZA CIR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894314943",
"telephone_number": "800-535-9041",
"fax_number": "877-898-8799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCADIA RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-20",
"last_updated": "2015-05-20",
"status": "A",
"authorized_official_last_name": "LONG",
"authorized_official_first_name": "DUSTIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "801-709-9419",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RAS"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NV",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NV",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Black Rock Recovery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.