National Provider Identifier Database

NORTHSIGHT RECOVERY LLC
Mental Health (Including Community Mental Health Center)

Contact Information

NORTHSIGHT RECOVERY LLC
1440 E SOUTHERN AVE
TEMPE, AZ  85282-5612
Phone: 480-544-0283
Fax:
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Adult Mental Health 261QM0850X
Case Management 251B00000X
Clinical Medical Laboratory 291U00000X
Community/Behavioral Health 251S00000X
Health Service 261QH0100X
Non-emergency Medical Transport (VAN) 343900000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for NORTHSIGHT RECOVERY LLC

NPI Number 1477212306
Legal business name
LBN		 NORTHSIGHT RECOVERY LLC
Authorized official JEREMY BLOOM - (MEMBER/CEO)
Entity Organization
Organization subpart No
Enumeration date 12/08/2021
Last updated 04/20/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • AZ Medicaid: 109815
  • AZ Other: 03D2245576 CLIA
  • AZ Other: OTC11514 FACILITY STATE LICENSE
  • AZ Other: 687990 JOINT COMISSION

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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