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ROYAL LIFE CENTERS
NPI 1013668219
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since January 10, 2022CLIA Certified · 5 labs
831 GAIL GARDNER WAY, PRESCOTT, AZ 86305(855) 468-3389 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Royal Life Centers NPPES

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

ROYAL LIFE CENTERS (NPI 1013668219) 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 5 active CLIA laboratory certificates and lists Shandalee Jackson, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1013668219
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameROYAL AZ LLC
Location Address831 GAIL GARDNER WAYPrescott, AZ 86305-1606
Mailing Address1590 S Congress AvePalm Springs, FL 33406-5957 · (561) 562-6271
Phone(855) 468-3389
Organization SubpartNo
Authorized OfficialShandalee JacksonCredentialing Manager · (561) 562-6271
Enumeration DateJanuary 10, 2022
Last NPPES UpdateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
✔ NPI 1013668219 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
831 GAIL GARDNER WAY, 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 5

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 03D2170166

Royal Az LLC · Prescott, AZ
Active · expires Aug 4, 2027
CLIA Number03D2170166
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationRoyal Az LLC822 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 03D2170173

Royal Az LLC · Prescott, AZ
Active · expires Aug 4, 2027
CLIA Number03D2170173
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationRoyal Az LLC812 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 03D2170174

Royal Az LLC · Prescott, AZ
Active · expires Aug 4, 2027
CLIA Number03D2170174
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationRoyal Az LLC814 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 03D2170175

Royal Life Centers, LLC · Prescott, AZ
Active · expires Aug 4, 2027
CLIA Number03D2170175
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorLisa A. Tomsak
Laboratory Phone(561) 562-6269
Laboratory LocationRoyal Life Centers, LLC656 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 03D2072724

Royal Az LLC · Prescott, AZ
Active · expires Apr 16, 2027
CLIA Number03D2072724
Laboratory TypeTreatment Center
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorLisa Tomsak
Laboratory Phone(928) 379-3097
Laboratory LocationRoyal Az LLC655 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 4

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

PRESCOTT DETOX CENTER, LLC
Rehabilitation, Substance Use Disorder Unit
831 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Yavapai County (928) 445-3834
ROYAL LIFE CENTERS, LLC
Substance Abuse Rehabilitation Facility
831 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Yavapai County (954) 304-3047
ROYAL AZ LLC
Substance Abuse Rehabilitation Facility
831 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Yavapai County (602) 350-1166
NANCY ANNE KILGORE LMSW
Social Worker (Clinical)
831 GAIL GARDNER WAY
PRESCOTT, AZ 86305
Yavapai County (623) 565-4757

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 Royal Az LLC's NPI number?

The NPI number for Royal Az LLC is 1013668219. 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 Royal Az LLC located?

Royal Az LLC is located at 831 Gail Gardner Way, Prescott, AZ 86305. The listed phone number is (855) 468-3389.

What is Royal Az LLC's specialty?

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

Does Royal Az LLC hold CLIA laboratory certificates?

Yes. 5 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 Royal Az LLC accept?

Health plans from Blue Cross Blue Shield of Arizona list Royal 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 Royal Az LLC was last updated on March 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.