CAME TO PASS SOBER LIVING RECOVERY LLC (NPI# 1679067946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679067946 |
| Entity Type | Organization |
| Organization Name | CAME TO PASS SOBER LIVING RECOVERY LLC |
| Practice Address |
1072 E Old Canyon Ct Flagstaff AZ 86001-5924 |
| Practice Telephone | 9288649702 |
| Mailing Telephone | 9288649702 |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |
| Authorized Official Name | GRACIELA DEL MORAL (OWNER/MANAGER) |
| Authorized Official Telephone | 9288649702 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | BH5453 | AZ | Agencies |
| N | 324500000X | Substance Abuse Rehabilitation Facility | BH5453 | AZ | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
BH5453 | AZ | Ambulatory Health Care Facilities |
| Street Address |
1072 E OLD CANYON CT |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568817880 | Anharo LLC | Clinic/Center | 1110 E Route 66, Suite 200, Flagstaff, AZ 86001-4771 | 2016-04-25 |
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| 1962022806 | Illuminate Recovery LLC | Clinic/Center | 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529 | 2020-04-21 |
| 1154940864 | Light House Group Home LLC | Clinic/Center | 108 E 2nd Ave Ste 101, Mesa, AZ 85210-1410 | 2020-04-13 |
| 1871128520 | Summit Bhc Mesa LLC | Clinic/Center | 860 N Center St Bldg 1-3, Mesa, AZ 85201-4201 | 2020-03-03 |
| 1861025876 | Summit Bhc Mesa LLC | Clinic/Center | 846 North Center Street Suite 101, Mesa, AZ 85201 | 2020-02-18 |
| 1386284982 | Succeeding At Recovery LLC | Clinic/Center | 10702 W Peoria Ave, Sun City, AZ 85351-4062 | 2020-01-10 |
| 1538706775 | Soberman's Estate LLC | Clinic/Center | 5035 E Barwick Dr, Cave Creek, AZ 85331-5981 | 2019-12-06 |
| 1659918266 | Peace & Ease LLC | Clinic/Center | 14362 N Frank Lloyd Wright Blvd Ste B103, Scottsdale, AZ 85260-8881 | 2019-12-02 |
| 1124662788 | Jh Medical Services LLC | Clinic/Center | 4635 W Mcdowell Rd Ste 110, Phoenix, AZ 85035-4149 | 2019-11-06 |
| 1609429315 | Blueprints Therapeutic Services LLC | Clinic/Center | 114 S Virginia St, Prescott, AZ 86303-3803 | 2019-07-22 |
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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.