Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nirvana Squared LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1073188629

Nirvana Squared LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1027 E Seldon Ln
Phoenix, AZ 85020-3259
Phone: (301) 366-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1073188629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Travis Plummer — Ceo · (301) 366-5675
NPI enumeratedMay 26, 2021
Last updated in NPPESMay 26, 2021
Certification dateMay 26, 2021
Mailing address7426 E Stetson Dr Unit 3017e, Scottsdale, AZ 85251-3877

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