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EMBARK RECOVERY LLC
NPI 1184193963
Substance Abuse Rehabilitation Facility in Prescott, AZ

Active since November 21, 2018CLIA 03D2159160 · Waiver
1118 WILLOW CREEK RD, PRESCOTT, AZ 86301(877) 215-2224(877) 215-2224 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Sep 4, 2024, Aug 18, 2021, Nov 21, 2018 (3 updates tracked since 2018).

About Embark Recovery Llc NPPES

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

EMBARK RECOVERY LLC (NPI 1184193963) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through December 11, 2026 and lists David Slattery, Manager, as its authorized official.

NPPES Registry Identity

NPI1184193963
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEMBARK RECOVERY LLC
Location Address1118 WILLOW CREEK RDPrescott, AZ 86301-1426
Mailing AddressPo Box 12341Glendale, AZ 85318-2341 · (877) 215-2224 · Fax (877) 215-2224
Phone(877) 215-2224
Fax(877) 215-2224
Organization SubpartNo
Authorized OfficialDavid SlatteryManager · (877) 215-2224
Enumeration DateNovember 21, 2018
Last NPPES UpdateJuly 21, 20253 updates tracked since enumeration
NPPES CertifiedJuly 21, 2025
✔ NPI 1184193963 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
1118 WILLOW CREEK RD, Prescott, AZ 86301
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Other Identifiers 1

Medicaid520332AZ

CLIA Laboratory Certificates CMS CLIA

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 03D2159160

Embark Recovery, LLC · Prescott, AZ
Active · expires Dec 11, 2026
CLIA Number03D2159160
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateDecember 12, 2024
Certificate Expiration DateDecember 11, 2026
Laboratory DirectorPaul Valbuena
Laboratory Phone(623) 256-4184
Laboratory LocationEmbark Recovery, LLC1118 Willow Creek Rd, Prescott, AZ 86301
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

CARLETON RECOVERY CENTERS
Substance Abuse Rehabilitation Facility
1118 WILLOW CREEK RD
PRESCOTT, AZ 86301
Yavapai County (928) 778-4600

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 Embark Recovery LLC's NPI number?

The NPI number for Embark Recovery LLC is 1184193963. It was assigned to this organization in the NPPES registry on November 21, 2018.

Where is Embark Recovery LLC located?

Embark Recovery LLC is located at 1118 Willow Creek Rd, Prescott, AZ 86301. The listed phone number is (877) 215-2224.

What is Embark Recovery LLC's specialty?

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

Does Embark Recovery LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2159160) is associated with this NPI, valid through December 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Embark Recovery LLC was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.