BLUE VASE RECOVERY CENTER LLC
NPI 1972981520
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Show Low, AZ

Active since May 15, 2015
1201 E COOLEY ST, SUITE B, SHOW LOW, AZ 85901(480) 216-5420 Get Directions Write a Review

NPPES record last updated: January 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2017, Dec 30, 2016 (2 updates tracked since 2016).

About Blue Vase Recovery Center Llc NPPES

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

BLUE VASE RECOVERY CENTER LLC (NPI 1972981520) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Show Low, Arizona and active in the NPI registry since May 2015. The organization lists Brock Bevell, Ceo, as its authorized official.

NPPES Registry Identity

NPI1972981520
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameBLUE VASE RECOVERY CENTER LLC
Location Address1201 E COOLEY ST, SUITE BShow Low, AZ 85901-5122
Mailing Address1201 E Cooley St, Suite BShow Low, AZ 85901-5122 · (480) 216-5420
Organization SubpartNo
Authorized OfficialBrock BevellCeo · (480) 216-5420
Enumeration DateMay 15, 2015
Last NPPES UpdateJanuary 11, 20172 updates tracked since enumeration
NPI 1972981520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code261QR0401X
License Licensed in AZ · OTC7145
1201 E COOLEY ST, Show Low, AZ 85901

Other Providers at the Same Location NPPES 2

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

Community/Behavioral Health
1201 E COOLEY ST
SHOW LOW, AZ 85901
Counselor (Professional)
1201 E COOLEY ST
SHOW LOW, AZ 85901

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 Blue Vase Recovery Center LLC's NPI number?

The NPI number for Blue Vase Recovery Center LLC is 1972981520. It was assigned to this organization in the NPPES registry on May 15, 2015.

Where is Blue Vase Recovery Center LLC located?

Blue Vase Recovery Center LLC is located at 1201 E Cooley St Suite B, Show Low, AZ 85901. The listed phone number is (480) 216-5420.

What is Blue Vase Recovery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Blue Vase Recovery Center LLC was last updated on January 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.