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PRESCOTT RECOVERY SERVICES LLC
NPI 1104464544
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since December 17, 2019
805 WHITE SPAR RD, PRESCOTT, AZ 86303(928) 899-8105(866) 697-2326 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Prescott Recovery Services Llc NPPES

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

PRESCOTT RECOVERY SERVICES LLC (NPI 1104464544) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since December 2019. The organization lists Debra Kimbro, Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1104464544
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePRESCOTT RECOVERY SERVICES LLC
Location Address805 WHITE SPAR RDPrescott, AZ 86303-4636
Mailing Address805 White Spar RdPrescott, AZ 86303-4636
Phone(928) 899-8105
Fax(866) 697-2326
Organization SubpartNo
Authorized OfficialDebra KimbroDirector Of Finance · (706) 633-3384
Enumeration DateDecember 17, 2019
✔ NPI 1104464544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
805 WHITE SPAR RD, Prescott, AZ 86303
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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 Prescott Recovery Services LLC's NPI number?

The NPI number for Prescott Recovery Services LLC is 1104464544. It was assigned to this organization in the NPPES registry on December 17, 2019.

Where is Prescott Recovery Services LLC located?

Prescott Recovery Services LLC is located at 805 White Spar Rd, Prescott, AZ 86303. The listed phone number is (928) 899-8105.

What is Prescott Recovery Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prescott Recovery Services LLC was last updated on December 17, 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.