VOGUE RECOVERY CENTER, LLC – NPI #1417456336
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

VOGUE RECOVERY CENTER, LLC is a substance abuse rehabilitation facility located in PHOENIX, AZ. NPPES has assigned the NPI number 1417456336 to VOGUE RECOVERY CENTER, LLC on February 06, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Apr 16, 2018. 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 VOGUE RECOVERY CENTER, LLC below.

NPI Profile for
VOGUE RECOVERY CENTER, LLC

NPI Number
1417456336
Enumeration Date

(more than 8 years 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
VOGUE RECOVERY CENTER, LLC
Primary location
4122 N 17TH ST
PHOENIX, AZ 85016-5922
Phone: (818) 916-8116 Fax:
Mailing address
16501 SHERMAN WAY STE 100
VAN NUYS, CA 91406-3757
Phone: Fax:
Organization Subpart
No
Authorized Official
GEORGE BOYADZHYAN
CEO
Phone: (818) 916-8116
Updated
Identifiers

Identifiers for VOGUE RECOVERY CENTER, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERARIZONA DEPARTMENT OF HEALTH SERVICESAZBH5357
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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
AZ BH5357

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.