ILLUMINATE RECOVERY LLC


Address: 10619 N Hayden Rd Ste A-108, Scottsdale, AZ 85260-8529
Phone: 4802621239

ILLUMINATE RECOVERY LLC (NPI# 1962022806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962022806
Entity Type Organization
Organization Name ILLUMINATE RECOVERY LLC
Practice Address 10619 N Hayden Rd Ste A-108
Scottsdale
AZ 85260-8529
Practice Telephone 4802621239
Mailing Telephone 4802621239
Enumeration Date 2020-04-21
Last Update Date 2020-04-21
Authorized Official Name NICOLE FERNANDEZ (CHIEF OPERATING OFFICER)
Authorized Official Telephone 4802621239
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
Ambulatory Health Care Facilities

Office Location

Street Address 10619 N HAYDEN RD STE A-108
City SCOTTSDALE
State AZ
Zip Code 85260-8529

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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City SCOTTSDALE
Zip Code 85260

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Dataset Information

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.

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