HEAL RECOVERY CENTER LLC
NPI 1780394858
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since November 30, 2022CLIA 03D2280902 · Waiver
3111 N 31ST AVE STE A, PHOENIX, AZ 85017(602) 721-1108 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 14, 2024, Apr 25, 2024, Apr 3, 2023 and 1 more (4 updates tracked since 2022).

About Heal Recovery Center Llc NPPES

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

HEAL RECOVERY CENTER LLC (NPI 1780394858) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since November 2022. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Hayil Rabadi, Chief Adminitrative Officer, as its authorized official.Information from the official NPPES registry record, last updated May 14, 2024.

NPPES Registry Identity

NPI1780394858
Entity TypeOrganization
Legal Business NameHEAL RECOVERY CENTER LLC
Location Address3111 N 31ST AVE STE APhoenix, AZ 85017-5410
Mailing Address3111 N 31st Ave Ste APhoenix, AZ 85017-5410 · (602) 721-1108
Organization SubpartNo
Authorized OfficialHayil RabadiChief Adminitrative Officer · (602) 721-1108
Enumeration DateNovember 30, 2022
Last NPPES UpdateMay 14, 20244 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
NPI 1780394858 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Nurse Practitioner · Psychiatric/Mental Health

Taxonomy 363LP0808X · Physician Assistants & Advanced Practice Nursing Providers

Also Listed

Substance Abuse Rehabilitation Facility

Taxonomy 324500000X · Residential Treatment Facilities

3111 N 31ST AVE STE A, Phoenix, AZ 85017

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2280902
Facility Type
Physician Office
Certificate Effective Date
April 27, 2025
Certificate Expiration Date
April 26, 2027
Laboratory Director
ABRAHAM SAYEGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Heal Recovery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780394858, enumerated as an "organization" on November 30, 2022.

The provider is located at 3111 N 31ST AVE STE A PHOENIX, AZ 85017 and the phone number is (602) 721-1108.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona. Please consult your insurance carrier or call the provider to verify.