HERITAGE RECOVERY TREATMENT CENTER, LLC – NPI #1972482560
Clinic/Center

HERITAGE RECOVERY TREATMENT CENTER, LLC is an AHC clinic located in PHOENIX, AZ. NPPES has assigned the NPI number 1972482560 to HERITAGE RECOVERY TREATMENT CENTER, LLC on August 28, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HERITAGE RECOVERY TREATMENT CENTER, LLC below.

NPI Profile for
HERITAGE RECOVERY TREATMENT CENTER, LLC

NPI Number
1972482560
Enumeration Date

(about 9 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HERITAGE RECOVERY TREATMENT CENTER, LLC
Primary location
1717 W NORTHERN AVE STE 200B
PHOENIX, AZ 85021-5469
Phone: (747) 463-9226 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NORRICE TINDIMUBONA
OWNER
Phone: (747) 463-9226
Updated
Certification Date
Aug 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.