ROYAL AZ LLC
NPI 1245981760
Clinic/Center - Rehabilitation, Substance Use Disorder in Prescott, AZ
About Royal Az Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROYAL AZ LLC (NPI 1245981760) is a healthcare organization registered as a rehabilitation, substance use disorder in Prescott, Arizona and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Shandalee Jackson, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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 03D2051302
Royal Az LLC · Prescott, AZOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRESCOTT, AZ 86305
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 1245981760. It was assigned to this organization in the NPPES registry on January 17, 2022.
Where is Royal Az LLC located?
Royal Az LLC is located at 818 W Gurley St, Prescott, AZ 86305. The listed phone number is (855) 468-3369.
What is Royal Az LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Royal Az LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2051302) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Royal Az Llc · NPI 1245981760
Rehabilitation, Substance Use Disorder organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since January 17, 2022.
## Identity
- **NPI:** 1245981760 (Entity type: Organization)
- **Enumerated:** January 17, 2022
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** Shandalee Jackson, CREDENTIALING MANAGER
## Practice location
- **Address:** 818 W GURLEY ST, Prescott, AZ 86305-3624
- **Phone:** (855) 468-3369
## Record status
- **NPPES last updated:** March 22, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1245981760) · Data from the CMS NPPES public registry.