Organization Active NPI

Heal Recovery Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1780394858
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEAL RECOVERY CENTER LLC
Practice address
3111 N 31St Ave Ste a
Phoenix, AZ 85017-5410
Phone
(602) 721-1108
NPI assigned
Nov 30, 2022
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Hayil Rabadi
Title
Chief Adminitrative Officer
Phone
(602) 721-1108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

3111 N 31St Ave Ste a
Phoenix, AZ 85017-5410

Mailing address

3111 N 31St Ave Ste a
Phoenix, AZ 85017-5410
Phone (602) 721-1108

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
03D2280902Heal Recovery Center LLC3111 N 31St Ave, Phoenix, AZ 85017Certificate of waiverApr 26, 2027

National Provider Directory

National Provider Directory

Locations

3111 N 31st Ave
Ste A
Phoenix, AZ 85017
Phone (602) 314-7681

Practitioners & affiliated clinicians

Practitioners 2

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": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1780394858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 N 31ST AVE STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175410",
            "telephone_number": "602-721-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N 31ST AVE STE A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175410",
            "telephone_number": "602-721-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "RABADI",
        "authorized_official_first_name": "HAYIL",
        "authorized_official_title_or_position": "CHIEF ADMINITRATIVE OFFICER",
        "authorized_official_telephone_number": "602-721-1108"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.