NPIMap

Organization Active NPI

Buena Vista Recovery, LLC

Doing business as Buena Vista Health and Recovery Centers

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Scottsdale, AZ
National Provider Identifier
1770107476
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
BUENA VISTA RECOVERY, LLC
Doing business as
Buena Vista Health and Recovery Centers
Practice address
8171 E Indian Bend Rd Ste 100
Scottsdale, AZ 85250-4830
Phone
(800) 922-0094
Fax
(602) 325-2093
NPI assigned
May 29, 2020
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Kristina Honiotes
Title
Chief Operating Officer
Phone
(480) 999-0851

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

8171 E Indian Bend Rd Ste 100
Scottsdale, AZ 85250-4830

Mailing address

8171 E Indian Bend Rd Ste 101
Scottsdale, AZ 85250-4830
Phone (800) 922-0094

Other identifiers 1

IdentifierTypeStateIssuer
096459MedicaidAZ

Other names 1

  • Buena Vista Health and Recovery Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2201109Buena Vista Recovery8171 E Indian Bend Rd Ste 100, Scottsdale, AZ 85250Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory
Tax ID family
Buena Vista Recovery LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8171 E Indian Bend Rd
Ste 100
Scottsdale, AZ 85250
Phone (800) 922-0094

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1770107476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 E INDIAN BEND RD STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504830",
            "telephone_number": "800-922-0094",
            "fax_number": "877-215-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8171 E INDIAN BEND RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504830",
            "telephone_number": "800-922-0094",
            "fax_number": "602-325-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "HONIOTES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-999-0851"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096459",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buena Vista Health and Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.

Verify at the official NPI Registry.