Tellurian Health Services, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

TELLURIAN HEALTH SERVICES, LLC

Doing business as

Bravo Recovery Home

Practice address

4215 E Paradise LN
Phoenix, AZ 85032-3330

Phone

(480) 430-5491

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Nasson Nathan

Title

Administrator

Phone

(480) 430-5491

Specialties & licenses 1

Addresses

Other names 1

• BRAVO RECOVERY HOME Doing business as

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1710617196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3849 E SHEENA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 E PARADISE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323330",
            "telephone_number": "480-430-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLURIAN HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "NATHAN",
        "authorized_official_first_name": "NASSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-430-5491"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BRAVO RECOVERY HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genevieve Tellez
• Taylor Marie Tellez, PHARMD
• Krystal Nicole Tellier, N.D., C.P.M.
• America Tello Legarreta, RBT
• Tellurian Behavioral Health Services, LLC (Alpha Recovery Home)
• Davis McLain Temple, M.A., BCBA
• Jovita Temple
• Lisa Temple, MAPC, LPC
• John Robert Templeton, RPH
• Josie Joy Templeton, RBT

• Substance Abuse Rehabilitation Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.