BUENA VISTA RECOVERY, LLC (NPI# 1174162143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174162143 |
| Entity Type | Organization |
| Organization Name | BUENA VISTA RECOVERY, LLC |
| Practice Address |
5151 E Pima St Ste 110 Tucson AZ 85712-3627 |
| Mailing Address |
8171 E Indian Bend Rd Ste 101 Scottsdale AZ 85250-4830 |
| Practice Telephone | 8772152224 |
| Practice Fax Number | 8772152224 |
| Mailing Telephone | 8009220094 |
| Mailing Fax Number | 8772152224 |
| Enumeration Date | 2019-12-23 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 004589 | 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 |
| 1396303053 | Buena Vista Recovery, LLC | Case Management | 3033 S Arizona Ave, Chandler, AZ 85248-2717 | 2019-05-29 |
| 1053979724 | Buena Vista Recovery, LLC | Clinic/Center | 3033 S Arizona Ave Ste 110, 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 |
5151 E PIMA ST STE 110 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917488 | Buena Vista Recovery, LLC | Rehabilitation, Substance Use Disorder Unit | 5151 E Pima St Ste 110, Tucson, AZ 85712-3627 | 2020-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1154826527 | Villa Maria Care Center, LLC | Substance Abuse Rehabilitation Facility | 4310 E Grant Rd Ste A, Tucson, AZ 85712-2607 | 2018-03-28 |
| 1104373364 | Arizona Rehab Campus, LLC | Substance Abuse Rehabilitation Facility | 6944 E Tanque Verde Rd, Tucson, AZ 85715 | 2016-09-06 |
| 1295120319 | Hlgl LLC | Substance Abuse Rehabilitation Facility | 1604 N Country Club Rd, Tucson, AZ 85716-3119 | 2015-04-06 |
| 1649686106 | Southwest Sober Living, LLC | Substance Abuse Rehabilitation Facility | 330 W Los Altos Rd, Tucson, AZ 85704-5671 | 2014-07-06 |
| 1669886370 | The Villas | Substance Abuse Rehabilitation Facility | 6849 S Tackweed Way, Tucson, AZ 85756-5141 | 2014-06-20 |
| 1033497961 | The Haven | Substance Abuse Rehabilitation Facility | 147 S Avenida Depalmas, Tucson, AZ 85716 | 2011-07-26 |
| 1336434364 | Transitional Living Corporation | Substance Abuse Rehabilitation Facility | 1313 S. Venice Ave, Tucson, AZ 85712-3935 | 2011-06-17 |
| 1356631931 | The Haven | Substance Abuse Rehabilitation Facility | 100 S Avenida De Palmas, Tucson, AZ 85716-5817 | 2011-04-15 |
| Find all providers in TUCSON | ||||
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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.