Active NPI
Royal Life Centers, LLC
- Substance Abuse Rehabilitation Facility
- Prescott, AZ
National Provider Identifier
1811449721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ROYAL LIFE CENTERS, LLC
- Practice address
- 831 Gail Gardner Way
Prescott, AZ 86305-1606 - Phone
- (954) 304-3047
- Fax
- (800) 871-3317
- NPI assigned
- Oct 26, 2016
- 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. Frank Cid
- Title
- Member-Sole
- Phone
- (954) 304-3047
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | AZ | Primary |
Addresses
Primary practice location
831 Gail Gardner Way
Prescott, AZ 86305-1606
Mailing address
701 S Swinton Swinton Ave
Apt G
Delray Beach, FL 33444
Phone (954) 304-3047
National Provider Directory
National Provider Directory- Tax ID family
- Chapter 5 Counseling
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Prescott, AZ
- NPI 1295110476
-
- Substance Abuse Rehabilitation Facility
- Prescott, AZ
- NPI 1427581941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1811449721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S SWINTON SWINTON AVE",
"address_2": "APT G",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "33444",
"telephone_number": "954-304-3047",
"fax_number": "800-871-3317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 GAIL GARDNER WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863051606",
"telephone_number": "954-304-3047",
"fax_number": "800-871-3317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROYAL LIFE CENTERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "CID",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "MEMBER-SOLE",
"authorized_official_telephone_number": "954-304-3047",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.