Active NPI
Transitional Recovery Services LLC
- Community/Behavioral Health Agency
- Peoria, AZ
National Provider Identifier
1962124503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TRANSITIONAL RECOVERY SERVICES LLC
- Practice address
- 16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816 - Phone
- (602) 761-6221
- NPI assigned
- Sep 12, 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
- Robert McNeal, BS
- Title
- Co /Owner
- Phone
- (602) 718-8809
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 332800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816
Mailing address
5820 N 130TH Ave
Litchfield Park, AZ 85340-3088
Phone (602) 761-6221
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 174200000X | Medicaid | AZ | |
| 251B00000X | Medicaid | AZ | |
| 253200000X | Medicaid | AZ | |
| 261QM0850X | Medicaid | AZ | |
| 332800000X | Medicaid | AZ | |
| 104100000X | Medicaid | AZ | |
| 261QM0801X | Medicaid | AZ | |
| 101Y00000X | Medicaid | AZ | |
| 251S00000X | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Direct | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662940800000",
"number": "1962124503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 N 130TH AVE",
"city": "LITCHFIELD PARK",
"state": "AZ",
"postal_code": "853403088",
"telephone_number": "602-761-6221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16165 N 83RD AVE STE 200",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853825816",
"telephone_number": "602-761-6221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSITIONAL RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-12",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A",
"authorized_official_last_name": "MCNEAL",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "CO /OWNER",
"authorized_official_telephone_number": "602-718-8809",
"authorized_official_credential": "BS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "332800000X",
"taxonomy_group": "",
"desc": "Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174200000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251B00000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "253200000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261QM0850X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "332800000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104100000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261QM0801X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251S00000X",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Direct",
"affiliation": "N",
"endpointDescription": "out patient",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "16165 N 83rd Ave Ste 200",
"city": "Peoria",
"state": "AZ",
"country_code": "US",
"postal_code": "853825816",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.