VOGUE RECOVERY ARIZONA (NPI# 1174185680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174185680 |
| Entity Type | Organization |
| Organization Name | VOGUE RECOVERY ARIZONA |
| Practice Address |
4122 N 17th St Ste A Phoenix AZ 85016-5922 |
| Mailing Address |
16501 Sherman Way Ste 100 Van Nuys CA 91406-3757 |
| Practice Telephone | 8183040705 |
| Mailing Telephone | 8183040705 |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2019-07-06 |
| Authorized Official Name | GEORGE BOYADZHYAN (OWNER) |
| Authorized Official Telephone | 8183040705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4122 N 17th St, Phoenix, AZ 850165922 | 8183040705 |
| Street Address |
4122 N 17TH ST STE A |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-5922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662788 | Jh Medical Services LLC | Clinic/Center | 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 | 2019-11-06 |
| 1891350955 | Lett, Rohde, & Walling, PC | Clinic/Center | 3839 E Shea Blvd, Phoenix, AZ 85028-3445 | 2019-05-04 |
| 1982171302 | Terros, Inc | Clinic/Center | 4616 N 51st Ave Ste 201, Phoenix, AZ 85031-1716 | 2018-10-24 |
| 1417982810 | Valley Hope Association | Clinic/Center | 3233 Peoria Ave, Ste 203, Phoenix, AZ 85029-4615 | 2006-07-12 |
| 1437115367 | Lett, Rohde, & Walling, PC | Clinic/Center | 4222 E Camelback Rd Ste 230h, Phoenix, AZ 85018-2787 | 2006-04-20 |
| 1043838535 | Global Family Care Behavioral Health Home LLC | Clinic/Center | 18006 N 6th Dr, Phoenix, AZ 85023-6489 | 2020-07-10 |
| 1255962270 | Crossroads, Inc | Clinic/Center | 3702 N 13th Ave, Phoenix, AZ 85013-3677 | 2020-01-29 |
| 1265079560 | Hushabye Nursery | Clinic/Center | 3003 E Mcdowell Rd, Phoenix, AZ 85008-3620 | 2019-12-05 |
| 1972070399 | Terros, Inc | Clinic/Center | 8836 N 23rd Ave Ste B1, Phoenix, AZ 85021-4175 | 2018-10-24 |
| 1437626843 | Terros, Inc. | Clinic/Center | 4616 N 51st Ave Ste 108, Phoenix, AZ 85031-1720 | 2018-10-24 |
| Find all providers in PHOENIX | ||||
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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.