Provider Demographics
NPI:1326628975
Name:ZIKA RECOVERY LLC
Entity Type:Organization
Organization Name:ZIKA RECOVERY LLC
Other - Org Name:VIRTUE RECOVERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR BILLING REP
Authorized Official - Prefix:
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-928-0038
Mailing Address - Street 1:111 S HEARTHSTONE WAY # A-C
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-5010
Mailing Address - Country:US
Mailing Address - Phone:877-244-3250
Mailing Address - Fax:
Practice Address - Street 1:111 S HEARTHSTONE WAY # A-C
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-5010
Practice Address - Country:US
Practice Address - Phone:877-244-3250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZIKA RECOVERY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-08
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ082255Medicaid