PRESCOTT RECOVERY SERVICES LLC (NPI# 1104464544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104464544 |
| Entity Type | Organization |
| Organization Name | PRESCOTT RECOVERY SERVICES LLC |
| Practice Address |
805 White Spar Rd Prescott AZ 86303-4636 |
| Practice Telephone | 9288998105 |
| Practice Fax Number | 8666972326 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | DEBRA KIMBRO (DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7066333384 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
805 WHITE SPAR RD |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86303-4636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518447598 | Jacqueline Schlosser | Respite Care | 237 S. Washington Ave., Prescott, AZ 86303 | 2018-08-18 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1871944322 | Jessie Deverna | Counselor | 450 W Goodwin St Suite 103b, Prescott, AZ 86303 | 2016-06-27 |
| 1154782845 | Walmart | Pharmacy | 1120 N. Opal Dr., Prescott, AZ 86303 | 2016-03-09 |
| 1710377650 | Compass Recovery Center LLC | Clinic/Center | 711 S. Granite St, Prescott, AZ 86303 | 2015-01-30 |
| 1154727527 | Anne Gurley Klever | Pharmacist | 500 Arizona 89, Prescott, AZ 86303 | 2014-11-13 |
| 1295131860 | Kathi Sabot | Registered Nurse | 146 S. Granite Street, Prescott Unified School District, Prescott, AZ 86303 | 2014-11-10 |
| 1457697989 | Kim K. Mcintyre | Counselor | 505 S. Cortez St., Prescott, AZ 86303 | 2013-01-03 |
| 1578885257 | Wesley Carl Kitchens | Counselor | 315 W Goodwin St, Prescott, AZ 86303 | 2010-02-22 |
| 1588805907 | Jacob Lee Bean | Physical Therapist | 6820 El Dorado Dr, Prescott, AZ 86303 | 2009-03-14 |
| Find all providers in zip 86303 | ||||
| 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 |
|---|---|---|---|---|
| 1356963839 | Summit Behavioral Health of Az, LLC | Substance Abuse Rehabilitation Facility | 1989 Willow Lake Rd Unit 100-105, Prescott, AZ 86301-4885 | 2020-05-07 |
| 1578077632 | Paramount Recovery Services, LLC | Substance Abuse Rehabilitation Facility | 602 Bonita Way, Prescott, AZ 86301-1002 | 2017-11-28 |
| 1073903472 | Chapter 5 Counseling Center, LLC | Substance Abuse Rehabilitation Facility | 707 W Gurley St, Prescott, AZ 86305-3621 | 2015-01-23 |
| 1346630746 | Chapter 5 Counseling Center, LLC | Substance Abuse Rehabilitation Facility | 818 W Gurley St, Prescott, AZ 86305-3624 | 2015-01-23 |
| 1619392297 | Carleton Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 135 Brush St., Prescott, AZ 86301 | 2014-02-19 |
| 1861817447 | Carleton Recovery Centers | Substance Abuse Rehabilitation Facility | 1118 Willow Creek Rd, Prescott, AZ 86301 | 2014-02-19 |
| 1477808095 | Decision Point, LLC | Substance Abuse Rehabilitation Facility | 621 Campbell St, Prescott, AZ 86301-2522 | 2012-07-19 |
| 1295080810 | Decision Point Center, Inc | Substance Abuse Rehabilitation Facility | 623 Campbell St, Prescott, AZ 86301-2522 | 2012-07-19 |
| 1750636379 | Decision Point Center, LLC | Substance Abuse Rehabilitation Facility | 625 Campbell St, Prescott, AZ 86301-7526 | 2012-07-19 |
| 1396000584 | Decision Point Center, LLC | Substance Abuse Rehabilitation Facility | 615 Campbell St, Prescott, AZ 86301-7500 | 2012-07-12 |
| 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.