Organization
NORTHSIGHT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY BLOOM (MEMBER/CEO)
(480) 544-0283
Entity
Organization
Contact information
Practice address
1440 E SOUTHERN AVE, TEMPE, AZ 85282-5612
(480) 544-0283
Mailing address
10441 E THATCHER AVE, MESA, AZ 85212-8338
(480) 544-0283
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03D2245576
CLIA
AZ
05
—
109815
—
AZ
01
—
687990
JOINT COMISSION
AZ
01
—
OTC11514
FACILITY STATE LICENSE
AZ
Enumeration date
12/08/2021
Last updated
04/20/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us