Healthcare Provider Details

I. General information

NPI: 1003625260
Provider Name (Legal Business Name): EMOTICARE RIMROCK LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3095 E CORONADO TRL
RIMROCK AZ
86335-5284
US

IV. Provider business mailing address

13213 N 68TH ST
SCOTTSDALE AZ
85254-3902
US

V. Phone/Fax

Practice location:
  • Phone: 928-371-2345
  • Fax:
Mailing address:
  • Phone: 602-800-6553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MOSHE LOBL
Title or Position: CEO
Credential:
Phone: 602-800-6553