Active NPI
Rio Retreat Center LLC
- Adult Mental Health Clinic/Center
- Wickenburg, AZ
National Provider Identifier
1821738865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- RIO RETREAT CENTER LLC
- Practice address
- 1245 Jack Burden Rd
Wickenburg, AZ 85390-3370 - Phone
- (602) 256-3020
- NPI assigned
- Mar 29, 2022
- 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
- Ms. Tracy Livingston
- Title
- VP of Revenue Cycle Management
- Phone
- (602) 256-3020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1245 Jack Burden Rd
Wickenburg, AZ 85390-3370
Mailing address
19820 N 7TH St Ste 205
Phoenix, AZ 85024-1694
Phone (602) 256-3020
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2262153 | Rio Retreat Center LLC | Certificate of waiver | Jun 8, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1821738865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19820 N 7TH ST STE 205",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850241694",
"telephone_number": "602-256-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 JACK BURDEN RD",
"city": "WICKENBURG",
"state": "AZ",
"postal_code": "853903370",
"telephone_number": "602-256-3020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIO RETREAT CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-29",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "LIVINGSTON",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "VP OF REVENUE CYCLE MANAGEMENT",
"authorized_official_telephone_number": "602-256-3020",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wickenburg, AZ
- Remuda Ranch Center for Anorexia and Bulimia Inc
- Remuda Ranch Center for Anorexia and Bulimia Inc
- Remuda Ranch Center for Anorexia Andbulimia Inc
- Remuda Ranch Holding Company
- Remuda Ranch RLP
- Robert Cameron Ripley, M.D.
- Rooted Chiropractic and Wellness PLLC
- Rose Lane Emergency Physicians LLC
- Roger L Rose, RPH FASCP
- Rosewood Ranch
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.