OrganizationActive
The Phoenix Recovery Center LLC
NPI 1770828873 · Substance Abuse Rehabilitation Facility · Ste 500, UT
Provider details
- NPI number
- 1770828873
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kristin Timmons, Executive Director(801) 438-3185
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
489 W. South Jordan Parkway
Ste 500, UT 84095
Phone: (801) 438-3185
Fax: (801) 438-3184
Street-level locationGet directions
Mailing address
11762 S State St
Draper, UT 84020-7155
Additional practice locations (1)
- 11337 S 445 WSouth Jordan, UT 84095-4027Phone: (801) 571-6798Fax: (801) 619-2016
Registry dates
- Enumerated
- 2012-12-01
- Last updated
- 2021-04-05
- Certified
- 2021-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.