Seaglass Az LLC
NPI 1710638226 · Substance Use Disorder Rehabilitation Clinic/Center · Prescott, AZ
Seaglass Az LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Prescott, AZ (NPI 1710638226).
Provider details
- NPI number
- 1710638226
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shandalee Jackson, Credentialing Manager(561) 562-6271
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Other names (DBA / former)
- Doing business as
- Seaglass Recovery
- Doing business as
- Seaglass Recovery
Registry dates
- Enumerated
- 2022-01-17
- Last updated
- 2022-03-22
- Certified
- 2022-03-22
Frequently asked questions
- What is Seaglass Az LLC's NPI number?
- Seaglass Az LLC's National Provider Identifier (NPI) is 1710638226, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Seaglass Az LLC?
- Seaglass Az LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Seaglass Az LLC located?
- Seaglass Az LLC's practice location on file with NPPES is 711 W Gurley St, Prescott, AZ 86305-3621.
- What is Seaglass Az LLC's phone number?
- The practice phone number listed in the NPPES registry for Seaglass Az LLC is (855) 468-3369.
- Who is the authorized official for Seaglass Az LLC?
- The authorized official listed on Seaglass Az LLC's NPPES record is Shandalee Jackson, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Seaglass Az LLC's NPI active?
- Yes — Seaglass Az LLC's NPI (1710638226) is active in the NPPES registry as of the last update on 2022-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.