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BUENA VISTA RECOVERY NPI 1578002572


NPI Information

NPI: 1578002572
Provider Name: BUENA VISTA RECOVERY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
29858 N TATUM BLVD STE 110
CAVE CREEK, AZ
ZIP 85331
Phone: (800) 922-0094
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BUENA VISTA RECOVERY is a rehabilitation and substance use disorder clinic center in Cave Creek, AZ. BUENA VISTA RECOVERY NPI is 1578002572. The provider is registered as an organization entity type.

The provider's business location address is:

29858 N TATUM BLVD STE 110
CAVE CREEK, AZ
ZIP 85331-865
Phone: (800) 922-0094
Fax: (602) 325-2082

The provider's authorized official is Kristina Honiotes .
The authorized official title is Chief Operating Officer and has the following contact phone number (480) 999-0851.

The enumeration date for this NPI number is 2/23/2017 and was last updated on 7/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QM0850XClinic/CenterAdult Mental HealthNo
3261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1549296MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.