MEDICARE: NOVACARE CLINIC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
3	261QM0850X	Adult Mental Health Clinic/Center
4	261Q00000X	Clinic/Center
5	261QP2300X	Primary Care Clinic/Center
6	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1992681225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVACARE CLINIC LLC

Provider Business Mailing Address
First Line	:	2401 E MEADOWBROOK AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-4921
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10240 N 31ST AVE STE 122
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9564
Country	:	US
Telephone Number	:	602-499-6675
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE OWNER
Name	:	ANNA LEVERIZA
Credential	:
Telephone Number	:	602-499-6675

Provider Enumeration Date	:	08/13/2025
Last Update Date	:	10/07/2025

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Directions to “NOVACARE CLINIC LLC ” Practice Location

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