Re-Creation Retreat Llc
Community Based Residential Treatment Facility, Mental Illness
About Re-Creation Retreat Llc
Re-Creation Retreat Llc is a healthcare organization providing Community Based Residential Treatment Facility, Mental Illness services, registered under National Provider Identifier (NPI) number 1629339437.
The authorized official for Re-Creation Retreat Llc is RANDY SODERQUIST. The organization is headquartered at 455 SOUTH MAIN, Fredonia, Arizona 86022. The main office can be reached at (435) 691-0856.
Re-Creation Retreat Llc has been NPI-registered since 2012.
Locations & Contact
Primary Location
- Address
- 455 SOUTH MAIN
- City
- Fredonia
- State
- Arizona
- ZIP
- 86022
- Phone
- (435) 691-0856
Authorized Official
- Name
- RANDY SODERQUIST
Mailing Address
- Address
- 380 W LOS BARANCOS LN
- City
- KANAB
- State
- UT
- ZIP
- 847413311
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Classification
- Community Based Residential Treatment Facility, Mental Illness
- Taxonomy Code
- 320800000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Re-Creation Retreat Llc's NPI number?
What does Re-Creation Retreat Llc specialize in?
Where is Re-Creation Retreat Llc located?
Does Re-Creation Retreat Llc accept Medicare?
Does Re-Creation Retreat Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Re-Creation Retreat Llc holds NPI 1629339437, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.