Spartan Recovery Life LLC
NPI 1114565553 · Substance Use Disorder Rehabilitation Clinic/Center · Prescott, AZ
Spartan Recovery Life LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Prescott, AZ (NPI 1114565553).
Provider details
- NPI number
- 1114565553
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Debra Kimbro, Director of Finance(706) 633-3384
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
Mailing address
Registry dates
- Enumerated
- 2019-12-17
- Last updated
- 2019-12-17
- Certified
- 2019-12-17
Frequently asked questions
- What is Spartan Recovery Life LLC's NPI number?
- Spartan Recovery Life LLC's National Provider Identifier (NPI) is 1114565553, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spartan Recovery Life LLC?
- Spartan Recovery Life LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spartan Recovery Life LLC located?
- Spartan Recovery Life LLC's practice location on file with NPPES is 919 12th Pl Ste 13, Prescott, AZ 86305-1433.
- What is Spartan Recovery Life LLC's phone number?
- The practice phone number listed in the NPPES registry for Spartan Recovery Life LLC is (833) 228-4222.
- Who is the authorized official for Spartan Recovery Life LLC?
- The authorized official listed on Spartan Recovery Life LLC's NPPES record is Debra Kimbro, Director of Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spartan Recovery Life LLC's NPI active?
- Yes — Spartan Recovery Life LLC's NPI (1114565553) is active in the NPPES registry as of the last update on 2019-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.