FOOTPRINTS TO RECOVERY
NPI 1417458753
Substance Abuse Rehabilitation Facility in Mesa, AZ

Q: What is Reboot Detox Az LLC's NPI number?

The NPI number for Reboot Detox Az LLC is 1417458753. It was assigned to this organization in the NPPES registry on February 22, 2018. The provider is doing business as Footprints To Recovery.

Q: What is Reboot Detox Az LLC's specialty?

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

Active since February 22, 2018

1132 S OAKLAND, MESA, AZ 85206(732) 903-1964 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Footprints To Recovery NPPES

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

FOOTPRINTS TO RECOVERY (NPI 1417458753) is a healthcare organization registered as a substance abuse rehabilitation facility in Mesa, Arizona and active in the NPI registry since February 2018. The organization lists Yeshaya Markovits, Cfo, as its authorized official.

NPPES Registry Identity

NPI1417458753

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameREBOOT DETOX AZ LLC

Location Address1132 S OAKLANDMesa, AZ 85206-2682

Mailing AddressPo Box 1030Brick, NJ 08723-0090 · (732) 903-1964

Phone(732) 903-1964

Organization SubpartNo

Authorized OfficialYeshaya MarkovitsCfo · (718) 868-1600

Enumeration DateFebruary 22, 2018

✔ NPI 1417458753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

License✔ Licensed in AZ · IFBH8704

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.

1132 S OAKLAND, Mesa, AZ 85206

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Other Names 1

Doing Business AsFootprints To Recovery

Other Providers at the Same Location NPPES 3

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

PURPOSE HEALING CENTER, LLC

Substance Abuse Rehabilitation Facility

1132 S OAKLAND
MESA, AZ 85206

Maricopa County (480) 579-3319

DISCOVERY PRACTICE MANAGEMENT, INC.

Psychiatric Residential Treatment Facility

1132 S OAKLAND
MESA, AZ 85206

Maricopa County (714) 828-1800

MESA DETOX LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

1132 S OAKLAND
MESA, AZ 85206

Maricopa County (480) 418-1754

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 Reboot Detox Az LLC's NPI number?

The NPI number for Reboot Detox Az LLC is 1417458753. It was assigned to this organization in the NPPES registry on February 22, 2018. The provider is doing business as Footprints To Recovery.

Where is Reboot Detox Az LLC located?

Reboot Detox Az LLC is located at 1132 S Oakland, Mesa, AZ 85206. The listed phone number is (732) 903-1964.

What is Reboot Detox Az 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 Reboot Detox Az LLC was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.