OrganizationActive
Core Recovery LLC
NPI 1073386355 · Substance Use Disorder Rehabilitation Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1073386355
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jaime Bogovich, Operations(518) 698-3757
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16515 S 40th St Ste 119b
Phoenix, AZ 85048-0559
Phone: (602) 810-1210
Fax: (480) 247-5625
Street-level locationGet directions
Mailing address
16515 S 40th St Ste 119b
Phoenix, AZ 85048-0559
Registry dates
- Enumerated
- 2023-10-30
- Last updated
- 2025-04-23
- Certified
- 2025-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.