HARD ROCK RECOVERY CENTER LLC
NPI 1609565340
Community/Behavioral Health in Phoenix, AZ

Active since May 08, 2023
1616 E INDIAN SCHOOL ROAD SUITE 415, PHOENIX, AZ 85016(207) 415-5393 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hard Rock Recovery Center Llc NPPES

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

HARD ROCK RECOVERY CENTER LLC (NPI 1609565340) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since May 2023. The organization lists Michel Kanyambo, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1609565340
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHARD ROCK RECOVERY CENTER LLC
Location Address1616 E INDIAN SCHOOL ROAD SUITE 415Phoenix, AZ 85016
Mailing Address1616 E Indian School Road 415Phoenix, AZ 85016 · (207) 415-5393
Organization SubpartNo
Authorized OfficialMichel KanyamboChief Executive Officer · (207) 415-5393
Enumeration DateMay 8, 2023
NPPES CertifiedMay 7, 2023
NPI 1609565340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1616 E INDIAN SCHOOL ROAD SUITE 415, Phoenix, AZ 85016

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 Hard Rock Recovery Center LLC's NPI number?

The NPI number for Hard Rock Recovery Center LLC is 1609565340. It was assigned to this organization in the NPPES registry on May 8, 2023.

Where is Hard Rock Recovery Center LLC located?

Hard Rock Recovery Center LLC is located at 1616 E Indian School Road Suite 415, Phoenix, AZ 85016. The listed phone number is (207) 415-5393.

What is Hard Rock Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Hard Rock Recovery Center LLC was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.