BUENA VISTA RECOVERY, LLC (NPI# 1053979724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053979724 |
Entity Type | Organization |
Organization Name | BUENA VISTA RECOVERY, LLC |
Practice Address |
3033 S Arizona Ave Ste 110 Chandler AZ 85248-2717 |
Mailing Address |
8171 E Indian Bend Rd Scottsdale AZ 85250-4830 |
Practice Telephone | 6232564184 |
Mailing Telephone | 8009220094 |
Mailing Fax Number | 8772152224 |
Enumeration Date | 2019-05-29 |
Last Update Date | 2020-07-21 |
Authorized Official Name | MRS. NAOMI VEGA (CONTRACT MANAGER) |
Authorized Official Telephone | 5203929716 |
Is Organization Subpart | Y |
Parent Organization Name | BUENA VISTA RECOVERY, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 591738 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770107476 | Buena Vista Recovery, LLC | Clinic/Center | 8171 E Indian Bend Rd Ste 100, Scottsdale, AZ 85250-4830 | 2020-05-29 |
1174162143 | Buena Vista Recovery, LLC | Community/Behavioral Health | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2019-12-23 |
1396303053 | Buena Vista Recovery, LLC | Case Management | 3033 S Arizona Ave, Chandler, AZ 85248-2717 | 2019-05-29 |
1750823498 | Buena Vista Recovery, LLC | Community Based Residential Treatment Facility, Mental Illness | 29858 N Tatum Blvd Ste 100, Cave Creek, AZ 85331-5865 | 2016-11-11 |
1912523549 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3033 S Arizona Ave Ste 110, Chandler, AZ 85248-2717 | 2020-06-19 |
1851917488 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2020-06-19 |
1750929865 | Buena Vista Recovery, LLC | Substance Abuse Rehabilitation Facility | 5151 E Pima St, Tucson, AZ 85712-3627 | 2019-12-19 |
1881230886 | Buena Vista Recovery, LLC | Case Management | 3033 S Arizona Ave, Chandler, AZ 85248-2717 | 2019-11-25 |
Street Address |
3033 S ARIZONA AVE STE 110 |
City | CHANDLER |
State | AZ |
Zip Code | 85248-2717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912523549 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 3033 S Arizona Ave Ste 110, Chandler, AZ 85248-2717 | 2020-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063019669 | Sona Dds PC | Dentist | 10450 E. Riggs Rd. #118, Chandler, AZ 85248 | 2020-10-06 |
1629618962 | Danica Lynne Williams | Counselor | 3800 S. Nebraska St., Chandler, AZ 85248 | 2020-01-15 |
1346743473 | Kiana Tess Tahiri | Behavioral Analyst | 3952 South Waterfront Drive, Chandler, AZ 85248 | 2018-03-15 |
1922508076 | Kaitlyn Christine Jones | Specialist/Technologist | 3700 S Arizona Ave, Chandler, AZ 85248 | 2018-02-15 |
1053833038 | Moc Chandler, LLC | Skilled Nursing Facility | 3033 South Arizona Ave., Chandler, AZ 85248 | 2017-07-12 |
1881064145 | Sonya Kay Kooima | Nurse Practitioner | 965 W. Chandler Heights Rd., Chandler, AZ 85248 | 2015-09-30 |
1215313028 | Taylor Froiland | Pharmacist | 4995 S Alma School Rd Ste 4, Chandler, AZ 85248 | 2015-08-04 |
1518380468 | Julie Ybarra | Speech-Language Pathologist | 1500 E.chandler Heights Rd., Chandler, AZ 85248 | 2014-01-29 |
1710218326 | Vijay Jain | Dentist | 1445 South Arizona Ave, Suite 1, Chandler, AZ 85248 | 2010-01-21 |
1700113156 | Lavon Williams | Registered Nurse | 10440 E. Riggs Road, Suite 207, Chandler, AZ 85248 | 2009-11-05 |
Find all providers in zip 85248 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700125275 | East Texas Recovery | Substance Abuse Rehabilitation Facility | 700 State Hwy 31, Suite 100, Chandler, TX 75758 | 2013-02-04 |
1801826714 | Valley Hope Association | Substance Abuse Rehabilitation Facility | 501 N Washington, Chandler, AZ 85225-1839 | 2006-07-04 |
1952708778 | Shreya Health of Arizona, Inc | Substance Abuse Rehabilitation Facility | 111 S Hearthstone Way, Chandler, AZ 85226-5010 | 2014-11-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
1578170999 | Arizona Center for Recovery- A New Direction | Substance Abuse Rehabilitation Facility | 5331 N Sundown Dr, Tucson, AZ 85718-5515 | 2020-09-29 |
1427663947 | Summit Bhc Tuscon, LLC | Substance Abuse Rehabilitation Facility | 4210 W. Sweetwater Drive, Tucson, AZ 85745-9348 | 2020-09-11 |
1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
1932726361 | Northstar Homecare LLC | Substance Abuse Rehabilitation Facility | 5239 S 33rd Dr, Phoenix, AZ 85041-7411 | 2020-07-01 |
1891312542 | Semper Fidelis Behavioral Health Care, LLC | Substance Abuse Rehabilitation Facility | 8020 N 17th Dr, Phoenix, AZ 85021-5217 | 2020-06-29 |
1558988246 | Cmj Recovery Az LLC | Substance Abuse Rehabilitation Facility | 4122 N 17th St Bldg A, Phoenix, AZ 85016-5922 | 2020-06-29 |
1780201772 | Pinnacle Peak Recovery, LLC | Substance Abuse Rehabilitation Facility | 8070 E Morgan Trl Ste 125, Scottsdale, AZ 85258-1228 | 2020-06-25 |
1629692025 | A Home 4 U Transitional Housing | Substance Abuse Rehabilitation Facility | 18474 E Kingbird Dr, Queen Creek, AZ 85142-5118 | 2020-06-01 |
1568085215 | Scottsdale Recovery II, LLC | Substance Abuse Rehabilitation Facility | 10227 N Scottsdale Road, Scottsdale, AZ 85253-8526 | 2020-05-28 |
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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.