Provider Type Icon

ARISE RECOVERY CENTERS OF AMERICA LLC NPI 1558883876


NPI Information

NPI: 1558883876
Provider Name: ARISE RECOVERY CENTERS OF AMERICA, LLC
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

CLIA Number: 45D2153375

Address:
2535 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX
ZIP 76092
Phone: (214) 504-6670
Get Directions

ARISE RECOVERY CENTERS OF AMERICA, LLC is a rehabilitation clinic center in Southlake, TX. ARISE RECOVERY CENTERS OF AMERICA, LLC NPI is 1558883876. The provider is registered as an organization entity type.

The provider's business location address is:

2535 E SOUTHLAKE BLVD STE 200
SOUTHLAKE, TX
ZIP 76092-629
Phone: (214) 504-6670

The provider's authorized official is Danny Andino .
The authorized official title is Ceo and has the following contact phone number (214) 504-6670.

The CLIA number assigned to this NPI record is 45D2153375 - other - outpatient treatment crt with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 10/31/2023.


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
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0400XClinic/CenterRehabilitationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14194-4195OTHERTEXASSTATE LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.