WOLF CREEK RECOVERY LLC
NPI 1699348557
Substance Abuse Rehabilitation Facility in Prescott, AZ
About Wolf Creek Recovery Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOLF CREEK RECOVERY LLC (NPI 1699348557) is a healthcare organization registered as a substance abuse rehabilitation facility in Prescott, Arizona and active in the NPI registry since July 2021. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Jonathon Phillip Ciampa, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 03D2343125
Wolf Creek Recovery Scottsdale · Scottsdale, AZOther Providers at the Same Location NPPES
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 Wolf Creek Recovery LLC's NPI number?
The NPI number for Wolf Creek Recovery LLC is 1699348557. It was assigned to this organization in the NPPES registry on July 20, 2021.
Where is Wolf Creek Recovery LLC located?
Wolf Creek Recovery LLC is located at 1470 W Gurley St, Prescott, AZ 86305. The listed phone number is (928) 379-4075.
What is Wolf Creek Recovery LLC's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Does Wolf Creek Recovery LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 03D2343125) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Wolf Creek Recovery LLC was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Wolf Creek Recovery Llc · NPI 1699348557
Substance Abuse Rehabilitation Facility organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since July 20, 2021.
## Identity
- **NPI:** 1699348557 (Entity type: Organization)
- **Enumerated:** July 20, 2021
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **Organization subpart:** No
- **Authorized official:** Jonathon Ciampa, CEO
## Practice location
- **Address:** 1470 W GURLEY ST, Prescott, AZ 86305-2855
- **Phone:** (928) 379-4075
## Record status
- **NPPES last updated:** July 20, 2021
- **Other identifiers:** Other 1316013253 (AZ)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1699348557) · Data from the CMS NPPES public registry.