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WAGONER CARE RECOVERY LLC
NPI 1922990753
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since July 16, 2025
2022 N PACEY RD, PHOENIX, AZ 85037(480) 577-6274 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wagoner Care Recovery Llc NPPES

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

WAGONER CARE RECOVERY LLC (NPI 1922990753) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since July 2025. The organization lists Gwen Wright, Coo, as its authorized official.

NPPES Registry Identity

NPI1922990753
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameWAGONER CARE RECOVERY LLC
Location Address2022 N PACEY RDPhoenix, AZ 85037-6301
Mailing Address2022 N Pacey RdPhoenix, AZ 85037-6301 · (480) 577-6274
Phone(480) 577-6274
Organization SubpartNo
Authorized OfficialGwen WrightCoo · (480) 577-6274
Enumeration DateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
✔ NPI 1922990753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2022 N PACEY RD, Phoenix, AZ 85037
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIA'S HOUSE OF HEALING
Counselor (Mental Health)
2022 N PACEY RD
PHOENIX, AZ 85037
Maricopa County (623) 256-0021
JUSTIN LEVON BOYKIN
Behavior Technician
2022 N PACEY RD
PHOENIX, AZ 85037
Maricopa County (480) 908-9013
PACEY CARE LLC
Community Based Residential Treatment Facility, Mental Illness
2022 N PACEY RD
PHOENIX, AZ 85037
Maricopa County (602) 374-5010
HALLMARK ASSISTED LIVING @ PACEY, LLC
Assisted Living Facility
2022 N PACEY RD
PHOENIX, AZ 85037
Maricopa County (602) 374-2784

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 Wagoner Care Recovery LLC's NPI number?

The NPI number for Wagoner Care Recovery LLC is 1922990753. It was assigned to this organization in the NPPES registry on July 16, 2025.

Where is Wagoner Care Recovery LLC located?

Wagoner Care Recovery LLC is located at 2022 N Pacey Rd, Phoenix, AZ 85037. The listed phone number is (480) 577-6274.

What is Wagoner Care Recovery LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Wagoner Care Recovery LLC was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.