NPIMap

Organization Active NPI

Carleton Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Prescott, AZ
National Provider Identifier
1861817447
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
BH4422 Issued in AZ
Legal business name
CARLETON RECOVERY CENTERS
Practice address
1118 Willow Creek Rd
Prescott, AZ 86301
Phone
(928) 778-4600
Fax
(928) 778-2221
NPI assigned
Feb 19, 2014
Organization subpart
Yes
Parent organization
CARLETON RECOVERY CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Fred Schaffner
Title
Chief Financial Officer
Phone
(928) 778-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X BH4422 AZ Primary

Addresses

Primary practice location

1118 Willow Creek Rd
Prescott, AZ 86301

Mailing address

505 Whipple St
Prescott, AZ 86301-1747
Phone (928) 778-4600

Other names 1

  • Carleton Recovery Centers Prescott Men's Residential Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carleton Recovery Centers LLC3 organizations share this tax ID, including this one
Part of
Carleton Recovery Centers LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1861817447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 WHIPPLE ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011747",
            "telephone_number": "928-778-4600",
            "fax_number": "928-778-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-778-4600",
            "fax_number": "928-778-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLETON RECOVERY CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARLETON RECOVERY CENTERS",
        "enumeration_date": "2014-02-19",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "SCHAFFNER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "928-778-4600"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "AZ",
            "license": "BH4422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carleton Recovery Centers Prescott Men's Residential",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 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.

Verify at the official NPI Registry.