THE SANCTUARY AT SEDONA (NPI# 1104379890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104379890 |
| Entity Type | Organization |
| Organization Name | THE SANCTUARY AT SEDONA |
| Practice Address |
2605 South Cactus Road Cornville AZ 86325 |
| Mailing Address |
2675 W State Route 89a #1115 Sedona AZ 86336-5240 |
| Practice Telephone | 9286391300 |
| Practice Fax Number | 9286391313 |
| Mailing Telephone | 9286391300 |
| Mailing Fax Number | 9286391313 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |
| Authorized Official Name | MR. DEAN TARABORELLI (ADMINISTRATOR) |
| Authorized Official Telephone | 9286391300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | BH4797 | AZ | Residential Treatment Facilities |
| Street Address |
2605 SOUTH CACTUS ROAD |
| City | CORNVILLE |
| State | AZ |
| Zip Code | 86325 |
| 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 |
| 1154621191 | Rhonda Lynne Anderson Day | Specialist/Technologist | 11920 E. Mingus View Dr., Cornville, AZ 86325 | 2010-10-25 |
| 1992024285 | Eve Grossman | Acupuncturist | 5000 E Boulder Canyon Drive, Cornville, AZ 86325 | 2010-05-26 |
| 1356672364 | Angela Rockow | Speech-Language Pathologist | 11490 Purple Sage Drive, Oak Creek School, Cornville, AZ 86325 | 2010-01-15 |
| 1396998316 | D. Wes Mcdorman | Counselor | 9255 Loy Lane, B, Cornville, AZ 86325 | 2008-11-04 |
| 1992865083 | Belle Nussbaum | Specialist | 9255 E Loy Ln, Cornville, AZ 86325 | 2006-12-11 |
| 1720172182 | Lori Jean Coey-ritter | Occupational Therapist | 1035 S Morning Light Ct, Cornville, AZ 86325 | 2006-10-02 |
| 1487138061 | Brad Joseph Nelson | Counselor | 822 Washigton St, Montpelier, ID 86325-1423 | 2018-09-20 |
| 1407955750 | Karen F Daniels | Specialist | 788 S Jerome Vws, Cornville, AZ 86325-4823 | 2006-09-22 |
| 1013038728 | Eugene B. Steiner | Pharmacist | 895 S Golf View Dr, Cornville, AZ 86325-4875 | 2007-04-02 |
| Find all providers in zip 86325 | ||||
| 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 |
|---|---|---|---|---|
| 1669073920 | Tusa Mental Health Services LLC | Substance Abuse Rehabilitation Facility | 11570 East Cornville Road, Cornville, AZ 86325 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1548882467 | Helping Hands Realty | Substance Abuse Rehabilitation Facility | 4813 W Belmont Ave, Glendale, AZ 85301-1523 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
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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.