BLUE SAGE RECOVERY LLC; NPI #1225608656

Contact Information

BLUE SAGE RECOVERY LLC

155 E RAY RD STE 2
CHANDLER, AZ 85225-3303

Phone: 480-356-4370
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rehabilitation, Substance Use Disorder	261QR0405X
Adolescent and Children Mental Health	261QM0855X
Case Management	251B00000X
Health Service	261QH0100X
Meals	174200000X
Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center
Non-emergency Medical Transport (VAN)	343900000X

Indicates primary specialty

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NPI Profile & details for BLUE SAGE RECOVERY LLC

NPI Number	`1225608656`
LBN Legal business name	BLUE SAGE RECOVERY LLC
Authorized official	LISA BOULAY - (OWNER/CEO/COO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/28/2021
Last updated	06/28/2021 - About 5 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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