HAVEN RECOVERY AZ LLC
NPI 1396115234
Clinic/Center - Medical Specialty in Glendale, AZ

Active since October 05, 2015
9524 W CAMELBACK RD, STE C-130, #293, GLENDALE, AZ 85305(405) 834-2993 Get Directions Write a Review

NPPES record last updated: October 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Haven Recovery Az Llc NPPES

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

HAVEN RECOVERY AZ LLC (NPI 1396115234) is a healthcare organization registered as a medical specialty in Glendale, Arizona and active in the NPI registry since October 2015. The organization lists Erich Brueschke, Member, as its authorized official.

NPPES Registry Identity

NPI1396115234
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameHAVEN RECOVERY AZ LLC
Location Address9524 W CAMELBACK RD, STE C-130, #293Glendale, AZ 85305-3104
Mailing Address9524 W Camelback Rd, Ste C-130, #293Glendale, AZ 85305-3104
Organization SubpartNo
Authorized OfficialErich BrueschkeMember · (405) 834-2993
Enumeration DateOctober 5, 2015
NPI 1396115234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

9524 W CAMELBACK RD, Glendale, AZ 85305

Other Providers at the Same Location NPPES 2

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

Occupational Therapist
9524 W CAMELBACK RD, STE. C-130 PMB 232
GLENDALE, AZ 85305
Optometrist
9524 W CAMELBACK RD
GLENDALE, AZ 85305

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 Haven Recovery Az LLC's NPI number?

The NPI number for Haven Recovery Az LLC is 1396115234. It was assigned to this organization in the NPPES registry on October 5, 2015.

Where is Haven Recovery Az LLC located?

Haven Recovery Az LLC is located at 9524 W Camelback Rd Ste C-130, #293, Glendale, AZ 85305. The listed phone number is (405) 834-2993.

What is Haven Recovery Az LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Haven Recovery Az LLC was last updated on October 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.