ACTIVE RECOVERY, LLC
NPI 1104460666
Substance Abuse Rehabilitation Facility in Centerville, UT
About Active Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ACTIVE RECOVERY, LLC (NPI 1104460666) is a healthcare organization registered as a substance abuse rehabilitation facility in Centerville, Utah and active in the NPI registry since October 2019. The organization lists Lance Hori, Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Active Recovery, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Active Recovery, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Active Recovery, LLC's NPI number?
The NPI number for Active Recovery, LLC is 1104460666. It was assigned to this organization in the NPPES registry on October 28, 2019.
Where is Active Recovery, LLC located?
Active Recovery, LLC is located at 25 S Main St # 212, Centerville, UT 84014. The listed phone number is (801) 663-6656.
What is Active Recovery, LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Is Active Recovery, LLC enrolled in Medicare?
Yes. Active Recovery, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Active Recovery, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Active Recovery, LLC, in Emergency Medicine and Marriage and Family Therapist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Active Recovery, LLC accept?
Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Active Recovery, 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 Active Recovery, LLC was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Active Recovery, Llc · NPI 1104460666
Substance Abuse Rehabilitation Facility organization in Centerville, Utah. Organization record, active in the CMS NPPES registry since October 28, 2019.
## Identity
- **NPI:** 1104460666 (Entity type: Organization)
- **Enumerated:** October 28, 2019
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Lance Hori, CLINICAL DIRECTOR
## Practice location
- **Address:** 25 S MAIN ST # 212, Centerville, UT 84014-1840
- **Phone:** (801) 663-6656
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Marriage and Family Therapist (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 28, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1104460666) · Data from the CMS NPPES public registry.