SEAGLASS RECOVERY (NPI# 1003372491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003372491 |
| Entity Type | Organization |
| Organization Name | SEAGLASS RECOVERY |
| Practice Address |
711 W Gurley St Prescott AZ 86305-3621 |
| Mailing Address |
701 S Swinton Ave Apt G Delray Beach FL 33444-2377 |
| Practice Telephone | 8777326837 |
| Mailing Telephone | 8777326837 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | MR. ERIC ANDREWS (DIRECTOR OF QUALITY ASSURANCE) |
| Authorized Official Telephone | 9283793097 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | ARIZONA DEPARTMENT OF HEALTH SERVICES | OTC9045 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679039044 | Seaglass Recovery | Substance Abuse Rehabilitation Facility | 707 W Gurley St, Prescott, AZ 86305-3621 | 2019-02-11 |
| Street Address |
711 W GURLEY ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86305-3621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972005395 | Granite View Adult Care Home LLC | Assisted Living Facility | 7105 Williamson Valley Road, Prescott, AZ 86305 | 2018-03-01 |
| 1215468095 | Valerie Williams | Occupational Therapist | 926 S. Hinman Dr., Prescott, AZ 86305 | 2017-03-23 |
| 1174073837 | Caspian Gleam Medical Center LLC | Clinic/Center | 3130 Stillwater Drive, Suite B, Prescott, AZ 86305 | 2016-10-06 |
| 1114388634 | Marla Beth Perkins | Speech-Language Pathologist | 3160 Stillwater Dr., Prescott, AZ 86305 | 2016-03-10 |
| 1790159853 | Michele A. Bibeau, D.d.s. | Dentist | 1058 Fair Street, Suite A, Prescott, AZ 86305 | 2015-11-30 |
| 1609264837 | Integrative Pain Centres of Prescott | Pain Medicine | 3769 Crossings Drive, Suite B, Integrative Pain Centres of Prescott, Prescott, AZ 86305 | 2014-12-22 |
| 1649697251 | Sharon Marilyn Jackson | Counselor | 3636 Crossings Drive, Prescott, AZ 86305 | 2014-03-20 |
| 1215351259 | Stefanie Maneval | Registered Nurse | 900 Iron Springs Rd, Prescott, AZ 86305 | 2014-02-11 |
| 1508207523 | Recovery In The Pines, LLC | Community/Behavioral Health | 919 12th Place #13, Prescott, AZ 86305 | 2013-07-08 |
| 1871857359 | Neal Herbert Segovia Cabaluna | Internal Medicine | 3773 Crossings Dr Ste C, Prescott, AZ 86305 | 2012-06-28 |
| Find all providers in zip 86305 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
| 1770955338 | Northern Arizona Center for Addiction, LLC | Clinic/Center | 195 Plaza Dr, Prescott, AZ 86303-5549 | 2015-10-22 |
| 1114309945 | Practical Development | Clinic/Center | 1965 Commerce Center Cir, Suite C, Prescott, AZ 86301-4484 | 2015-06-29 |
| 1871987495 | Embark Recovery LLC | Clinic/Center | 3727 Karicio Ln, Prescott, AZ 86303-6829 | 2015-03-20 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1528401072 | Freedom Recovery Center, LLC. | Clinic/Center | 1470 W Gurley St, Prescott, AZ 86305-2855 | 2013-04-15 |
| 1487701454 | Decision Point, LLC | Clinic/Center | 505 W. Whipple St., Prescott, AZ 86301-1747 | 2007-01-04 |
| 1306475751 | Pinnacle Treatment Center LLC | Clinic/Center | 445 Miller Valley Rd, Prescott, AZ 86301-2925 | 2020-04-07 |
| 1184193963 | Embark Recovery LLC | Clinic/Center | 3727 Karicio Ln, Prescott, AZ 86303-6829 | 2018-11-21 |
| 1952807414 | Holdfast Recovery | Clinic/Center | 1470 W Gurley St, Prescott, AZ 86305-2855 | 2018-04-03 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.