BUENA VISTA RECOVERY, LLC
NPI 1396303053
Clinic/Center - Rehabilitation, Substance Use Disorder in Chandler, AZ

NPI Status: Active since May 29, 2019

Contact Information

3033 S ARIZONA AVE
CHANDLER, AZ
ZIP 85248
Phone: (877) 215-2224

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • Accepts Insurance

About BUENA VISTA RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for Buena Vista Recovery, Llc, a provider established in Chandler, Arizona operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1396303053 assigned on May 2019. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Kristina Honiotes (Chief Operating Officer)

NPI
1396303053
Provider Name
BUENA VISTA RECOVERY, LLC
Entity Type
Organization
Location Address
3033 S ARIZONA AVE CHANDLER, AZ 85248
Location Phone
(877) 215-2224
Mailing Address
8171 E INDIAN BEND RD STE 101 SCOTTSDALE, AZ 85250
Mailing Phone
(800) 922-0094
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-29-2019
Last Update Date
07-12-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 - HMO
  • BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision - HMO
  • Blue ACA StandardHealth Silver with Health Choice - HMO
  • Blue AdvanceHealth Bronze - Neighborhood Network - HMO
  • Blue AdvanceHealth Gold - Neighborhood Network - HMO
  • Blue AdvanceHealth Silver - Neighborhood Network - HMO
  • Blue EverydayHealth Gold - Neighborhood Network - HMO
  • Blue EverydayHealth Silver - Neighborhood Network - HMO
  • Blue Portfolio HSA Bronze - Neighborhood Network - HMO
  • Blue Portfolio HSA Gold - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
  • Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
  • Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
  • Blue StandardHealth Bronze - Neighborhood Network - HMO
  • Blue StandardHealth Gold - Neighborhood Network - HMO
  • Blue StandardHealth Silver - Neighborhood Network - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KRISTINA HONIOTES

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(480) 999-0851

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
549981MEDICAID (05)AZ 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396303053
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23186606010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 6 + 0 + 6 + 0 + 1 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1396303053 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336758044 JAMES MICHAEL CARR
Individual
Counselor (Addiction (Substance Use Disorder))3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 923-6321
1023766078 CHRISTOPHER WADE SANDUM
Individual
Counselor (Mental Health)3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 680-0606
1689322687 SALLY ESPARZA LMSW
Individual
Social Worker (Clinical)3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 690-1768
1255044640 TRICIA JACOBSON-RUDD LASAC
Individual
Counselor (Addiction (Substance Use Disorder))3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 680-0606
1760195176 CAROL COLMENERO LMSW, LASAC
Individual
Social Worker (Clinical)3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 930-3803
1982388997DR. RYAN WANDLER DNP, PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 923-6340
1922756105 SAMANTHA JENAE PERRY LMSW
Individual
Social Worker (Clinical)3033 S ARIZONA AVE
CHANDLER, AZ 85248
(480) 923-6317

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396303053, enumerated in the NPI registry as an "organization" on May 29, 2019

The provider is located at 3033 S Arizona Ave Chandler, Az 85248 and the phone number is (877) 215-2224

This medical organization specializes in Clinic/Center with taxonomy code 261QR0405X with a focus in Rehabilitation, Substance Use Disorder

The provider might be accepting Accepts: BannerAetna, Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on May 29, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.