Active NPI
Rivyve Behavioral Health, Inc.
- Substance Abuse Rehabilitation Facility
- Bullhead City, AZ
National Provider Identifier
1972146165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RIVYVE BEHAVIORAL HEALTH, INC.
- Practice address
- 2150 Silver Creek Rd
Bullhead City, AZ 86442-8472 - Phone
- (928) 718-4483
- NPI assigned
- Oct 21, 2019
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Vance Miller
- Title
- Cfo / Treasurer
- Phone
- (928) 718-4483
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Substance Abuse Rehabilitation Facility
- Kingman, AZ
- NPI 1104687474
Corporate family (same tax ID) 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Kingman, AZ
- NPI 1104687474
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 |
|---|---|---|---|
| 03D2195136 | Rivyve Behavioral Health, Inc | Certificate of waiver | Oct 5, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Rivyve Behavioral Health Inc
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2150 Silver Creek Rd
Bullhead City, AZ 86442-8472
Mailing address
1099 E Sunrise Ave
Kingman, AZ 86401-6825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 18, 2024.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705536000000",
"number": "1972146165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 E SUNRISE AVE",
"city": "KINGMAN",
"state": "AZ",
"postal_code": "864016825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 SILVER CREEK RD",
"city": "BULLHEAD CITY",
"state": "AZ",
"postal_code": "864428472",
"telephone_number": "928-718-4483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVYVE BEHAVIORAL HEALTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "VANCE",
"authorized_official_title_or_position": "CFO / TREASURER",
"authorized_official_telephone_number": "928-718-4483",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bullhead City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.