Organization Active NPI

Rivyve Behavioral Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Bullhead City, AZ
National Provider Identifier
1972146165
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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.

Corporate family (same tax ID) 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2195136Rivyve Behavioral Health, Inc2150 Silver Creek Road, Bullhead City, AZ 86442Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rivyve Behavioral Health Inc (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.