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RIO RETREAT CENTER LLC
NPI 1821738865
Clinic/Center - Adult Mental Health in Wickenburg, AZ

Active since March 29, 2022CLIA 03D2262153 · Waiver
1245 JACK BURDEN RD, WICKENBURG, AZ 85390(602) 256-3020 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rio Retreat Center Llc NPPES

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

RIO RETREAT CENTER LLC (NPI 1821738865) is a healthcare organization registered as an adult mental health in Wickenburg, Arizona and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Tracy Livingston, Vp Of Revenue Cycle Management, as its authorized official.

NPPES Registry Identity

NPI1821738865
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameRIO RETREAT CENTER LLC
Location Address1245 JACK BURDEN RDWickenburg, AZ 85390-3370
Mailing Address19820 N 7th St Ste 205Phoenix, AZ 85024-1694 · (602) 256-3020
Phone(602) 256-3020
Organization SubpartNo
Authorized OfficialTracy LivingstonVp Of Revenue Cycle Management · (602) 256-3020
Enumeration DateMarch 29, 2022
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1821738865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1245 JACK BURDEN RD, Wickenburg, AZ 85390
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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 03D2262153

Rio Retreat Center LLC · Wickenburg, AZ
Active · expires Jun 8, 2028
CLIA Number03D2262153
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorGeorgia Fourlas
Laboratory Phone(928) 212-8701
Laboratory LocationRio Retreat Center LLC1245 Jack Burden Rd, Wickenburg, AZ 85390
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

JOHN PARKER MS,LMFT
Marriage & Family Therapist
1245 JACK BURDEN RD
WICKENBURG, AZ 85390
Maricopa County (928) 684-3926
CAMI HALL
Pharmacist
1245 JACK BURDEN RD
WICKENBURG, AZ 85390
Maricopa County (928) 668-4712
REMUDA RANCH CENTER FOR ANOREXIA AND BULIMIA INC
Special Hospital
1245 JACK BURDEN RD
WICKENBURG, AZ 85390
Maricopa County (928) 684-3913

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 Rio Retreat Center LLC's NPI number?

The NPI number for Rio Retreat Center LLC is 1821738865. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Rio Retreat Center LLC located?

Rio Retreat Center LLC is located at 1245 Jack Burden Rd, Wickenburg, AZ 85390. The listed phone number is (602) 256-3020.

What is Rio Retreat Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Rio Retreat Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2262153) is associated with this NPI, valid through June 8, 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 Rio Retreat Center LLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.