MADAM LLC NPI 1073856340

NPI Information

NPI: 1073856340
Provider Name: MADAM LLC

Doing Business As: BENCHMARK RECOVERY SERVICES

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2055579

Address:
11503 PARSONS RD
MANOR, TX
ZIP 78653
Phone: (954) 678-0078
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MADAM LLC is a rehabilitation and substance use disorder clinic center in Manor, TX. MADAM LLC NPI is 1073856340. The provider is registered as an organization entity type.
The provider Is Doing Business As Benchmark Recovery Services.

The provider's business location address is:

11503 PARSONS RD
MANOR, TX
ZIP 78653-220
Phone: (954) 678-0078

The provider's authorized official is Marsha Stone .
The authorized official title is Owner and has the following contact phone number (954) 678-0078.

The CLIA number assigned to this NPI record is 45D2055579 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2013 and was last updated on 4/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	291U00000X	Clinical Medical Laboratory		45D205579	TEXAS	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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