Phoenician Recovery Center LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

PHOENICIAN RECOVERY CENTER LLC

Doing business as

Phoenician recovery center LLC

Practice address

8031 S 7TH Ave
Phoenix, AZ 85041-7904

Phone

(602) 363-8564

NPI assigned

Oct 17, 2023

Last updated

Oct 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Mendez

Title

Owner

Phone

(602) 363-8564

Specialties & licenses 1

Addresses

Other names 1

• Phoenician recovery center LLC Doing business as

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1801678529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8031 S 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417904",
            "telephone_number": "602-363-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 S 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417904",
            "telephone_number": "602-363-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENICIAN RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-363-8564"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenician recovery center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoenician Health Group LLC
• Phoenician Homecare Services LLC
• Phoenician Medical Center Inc (Phoenician Primary Care)
• Phoenician Medical Center Inc (Phoenician Primary Care)
• Phoenician Medical Center, Inc (Phoenician Primary Care)
• Phoenix Allies for Community Health
• Phoenix Area Cardiology and Electrophysiology LLC
• Phoenix Area Cardiology and Electrophysiology LLC
• Phoenix ASC, LP (Cardiac Surgery Center of Phoenix)
• Phoenix Autism Center, LLC

• Case Manager/Care Coordinator in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Case Manager/Care Coordinator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.