Illuminate Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

ILLUMINATE RECOVERY LLC

Practice address

10619 N Hayden Rd Ste a-108
Scottsdale, AZ 85260-8529

Phone

(480) 262-1239

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Nicole Fernandez

Title

Chief Operating Officer

Phone

(480) 262-1239

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1962022806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10619 N HAYDEN RD STE A-108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608529",
            "telephone_number": "480-262-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10619 N HAYDEN RD STE A-108",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852608529",
            "telephone_number": "480-262-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLUMINATE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "480-262-1239"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@illuminaterecovery.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10619 N Hayden Rd Ste A-108",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852608529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Thomas Ilges
• Margaret Ilges, LPC
• Steven Alexander Ilko, MD
• Illinois Urgent Care Provider Network, LLC
• Alana Illsley
• Illuminated Path, LLC
• Jolanta Ilowska, PMHNP
• Usman Ilyas, MD
• Im Physician PLLC
• Latoya Imadiyi

• Substance Use Disorder Rehabilitation Clinic/Center in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.