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SEAGLASS AZ LLC
NPI 1003567207
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since January 10, 2022CLIA Certified · 3 labs
707 W GURLEY ST, PRESCOTT, AZ 86305(888) 468-3389 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, May 20, 2025, Jan 12, 2022 (3 updates tracked since 2022).

About Seaglass Az Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEAGLASS AZ LLC (NPI 1003567207), doing business as Royal Life Centers, is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since January 2022. The organization holds 3 active CLIA laboratory certificates and lists Bruce Worthington, Director, Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1003567207
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSEAGLASS AZ LLC
Location Address707 W GURLEY STPrescott, AZ 86305-3621
Mailing Address1590 S Congress AvePalm Springs, FL 33406-5957 · (561) 858-8263
Phone(888) 468-3389
Organization SubpartNo
Authorized OfficialBruce WorthingtonDirector, Revenue Cycle Management · (561) 858-8263
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMarch 23, 20263 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1003567207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
707 W GURLEY ST, Prescott, AZ 86305
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Other Names 1

Doing Business AsRoyal Life Centers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2042938

Seaglass Az LLC · Prescott, AZ
Active · expires Jun 21, 2028
CLIA Number03D2042938
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(928) 379-3097
Laboratory LocationSeaglass Az LLC707 W Gurley Street, Prescott, AZ 86305
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2170130

Seaglass Az LLC · Prescott, AZ
Active · expires Aug 1, 2027
CLIA Number03D2170130
Laboratory TypeSubstance Abuse Center
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationSeaglass Az LLC711 W Gurley St, Prescott, AZ 86305
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2095159

Seaglass Az LLC · Prescott, AZ
Active · expires Apr 30, 2027
CLIA Number03D2095159
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationSeaglass Az LLC709 W Gurley St, Prescott, AZ 86305
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHAPTER 5 COUNSELING CENTER, LLC
Substance Abuse Rehabilitation Facility
707 W GURLEY ST
PRESCOTT, AZ 86305
Yavapai County (928) 541-0692
SEAGLASS RECOVERY
Substance Abuse Rehabilitation Facility
707 W GURLEY ST
PRESCOTT, AZ 86305
Yavapai County (877) 732-6837

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seaglass Az LLC's NPI number?

The NPI number for Seaglass Az LLC is 1003567207. It was assigned to this organization in the NPPES registry on January 10, 2022. The provider is doing business as Royal Life Centers.

Where is Seaglass Az LLC located?

Seaglass Az LLC is located at 707 W Gurley St, Prescott, AZ 86305. The listed phone number is (888) 468-3389.

What is Seaglass Az LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Seaglass Az LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Seaglass Az LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Seaglass Az LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seaglass Az LLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.