Organization Active NPI

Healing & Recovery Center of Arizona, LLC

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1922815018
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HEALING & RECOVERY CENTER OF ARIZONA, LLC
Practice address
210 S 24TH St
Phoenix, AZ 85034-2539
Phone
(602) 300-0619
Fax
(480) 629-8646
NPI assigned
Dec 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Authorized official

Name
Ehab Nasir
Title
Ceo
Phone
(602) 300-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

210 S 24TH St
Phoenix, AZ 85034-2539

Mailing address

210 S 24TH St
Phoenix, AZ 85034-2539

National Provider Directory

National Provider Directory

Locations

210 S 24th St
Phoenix, AZ 85034
Phone (602) 277-5944

NPI Registry JSON

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1922815018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342539",
            "telephone_number": "602-300-0619",
            "fax_number": "480-629-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING & RECOVERY CENTER OF ARIZONA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "NASIR",
        "authorized_official_first_name": "EHAB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-300-0619"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "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 Dec 12, 2024; 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.