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NIRVANA RECOVERY LLC
NPI 1669289880
Substance Abuse Rehabilitation Facility in Phoenix, AZ

Active since December 11, 2024
15852 N 17TH ST, PHOENIX, AZ 85022(602) 662-2287(480) 427-6996 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2026, Dec 11, 2024 (2 updates tracked since 2024).

About Nirvana Recovery Llc NPPES

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

NIRVANA RECOVERY LLC (NPI 1669289880), doing business as Nirvana Residential Treatment, is a healthcare organization registered as a substance abuse rehabilitation facility in Phoenix, Arizona and active in the NPI registry since December 2024. The organization lists Michael Trychon, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669289880
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNIRVANA RECOVERY LLC
Location Address15852 N 17TH STPhoenix, AZ 85022-3365
Mailing Address21725 N 20th AvePhoenix, AZ 85027-2640 · (480) 764-2335
Phone(602) 662-2287
Fax(480) 427-6996
Organization SubpartYes
Authorized OfficialMichael TrychonCeo · (602) 471-2152
Enumeration DateDecember 11, 2024
Last NPPES UpdateJanuary 27, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1669289880 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
15852 N 17TH ST, Phoenix, AZ 85022
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Other Names 1

Doing Business AsNirvana Residential Treatment

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 Nirvana Recovery LLC's NPI number?

The NPI number for Nirvana Recovery LLC is 1669289880. It was assigned to this organization in the NPPES registry on December 11, 2024. The provider is doing business as Nirvana Residential Treatment.

Where is Nirvana Recovery LLC located?

Nirvana Recovery LLC is located at 15852 N 17th St, Phoenix, AZ 85022. The listed phone number is (602) 662-2287.

What is Nirvana Recovery 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 Nirvana Recovery LLC was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.