NPIMap

Organization Active NPI

Life Transformation Recovery

  • Substance Abuse Rehabilitation Facility
  • Prescott Valley, AZ
National Provider Identifier
1982156691
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIFE TRANSFORMATION RECOVERY
Practice address
8551 E Long Mesa Dr
Prescott Valley, AZ 86314-9350
Phone
(928) 515-0044
NPI assigned
Oct 28, 2016
Organization subpart
Yes
Parent organization
LIFE TRANSFORMATION RECOVERYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
David Sanchez, RN
Title
Executive Director
Phone
(928) 515-0044

Specialties & licenses 1

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

Addresses

Primary practice location

8551 E Long Mesa Dr
Prescott Valley, AZ 86314-9350

Mailing address

8521 E Florentine Rd Ste B
Prescott Valley, AZ 86314-8954
Phone (928) 515-0044

National Provider Directory

National Provider Directory
Tax ID family
Life Transformation Recovery3 organizations share this tax ID, including this one
Part of
Life Transformation Recovery

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1982156691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8521 E FLORENTINE RD STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148954",
            "telephone_number": "928-515-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8551 E LONG MESA DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149350",
            "telephone_number": "928-515-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TRANSFORMATION RECOVERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE TRANSFORMATION RECOVERY",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "928-515-0044",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.