RESURGENCE TEXAS (NPI# 1124627443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124627443 |
| Entity Type | Organization |
| Organization Name | RESURGENCE TEXAS |
| Practice Address |
10703 Ranch Road 12 Wimberley TX 78676-5239 |
| Mailing Address |
3151 Airway Ave Ste E1 Costa Mesa CA 92626-4620 |
| Practice Telephone | 8887005053 |
| Practice Fax Number | 9492095490 |
| Mailing Telephone | 7023059167 |
| Mailing Fax Number | 9492095490 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Authorized Official Name | NORA CODA (DIRECTOR OF STRATEGIC DEVELOPMENT) |
| Authorized Official Telephone | 6192487806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
10703 RANCH ROAD 12 |
| City | WIMBERLEY |
| State | TX |
| Zip Code | 78676-5239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053966283 | Symphony of Wimberley, LLC | Assisted Living Facility | 501 Fm 3237, Wimberley, TX 78676 | 2019-08-05 |
| 1730567363 | H-e-b, Lp | Clinical Medical Laboratory | 14501 Ranch Road 12, Wimberley, TX 78676 | 2015-05-15 |
| 1083030795 | Justin Robert Schaack | Dentist | 140 Joe Wimberley Blvd, Wimberley, TX 78676 | 2014-03-06 |
| 1538354345 | Murrel Ann Zbylot | Counselor | 1707 Fm 3237, Wimberley, TX 78676 | 2007-09-14 |
| 1588863757 | Deer Creek of Wimberly Nursing Center | Skilled Nursing Facility | 555 Ranch Rd 3237, Wimberly, TX 78676 | 2007-07-17 |
| 1649485913 | Martha Lyn Ward | Counselor | 282 Old Kyle Road, Wimberly, TX 78676 | 2007-05-11 |
| 1750457271 | Zara Kolb | Social Worker | 444 Deer Lake Estates, Wimberley, TX 78676 | 2006-11-27 |
| 1033212428 | Richard Karl Sears | Counselor | 12111 Ranch Road 12, Ste 117, Wimberley, TX 78676 | 2006-09-07 |
| 1871072397 | Seth Allen Petross | Physical Therapist | 14100 Ranch Road 12 Unit 100, Wimberley, TX 78676 | 2018-08-07 |
| 1265924583 | Stephanie Sanders | Registered Nurse | 14100 Ranch Road 12, Wimberley, TX 78676 | 2018-06-01 |
| Find all providers in zip 78676 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114274271 | Nova Recovery LLC | Substance Abuse Rehabilitation Facility | 601 Old Oaks Ranch Rd, Wimberley, TX 78676-5972 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496302 | Sunrise Rehab and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1106 N Interstate 35, San Marcos, TX 78666-7030 | 2020-10-26 |
| 1053918151 | The Salvation Army, A Georgia Corp. - Mabee Center | Substance Abuse Rehabilitation Facility | 1855 E. Lancaster Ave., Fort Worth, TX 76103-2123 | 2020-10-02 |
| 1174139364 | Voice To Discovery Community | Substance Abuse Rehabilitation Facility | 7811 Hornwood Dr, Houston, TX 77036-4115 | 2020-09-22 |
| 1093329484 | Alara Health | Substance Abuse Rehabilitation Facility | 4731 County Road 172, Alvin, TX 77511-0325 | 2020-09-02 |
| 1659982437 | Oliver-west Health and Wellness Center | Substance Abuse Rehabilitation Facility | 9009 Boone Rd Ste A, Houston, TX 77099-2033 | 2020-08-13 |
| 1730798893 | Starlite Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2210 Bandera Hwy Ste C-1, Kerrville, TX 78028-6609 | 2020-07-24 |
| 1043837644 | Alaine Detox Center LLC | Substance Abuse Rehabilitation Facility | 3505 Sage Rd Unit 2504, Houston, TX 77056-7183 | 2020-06-30 |
| 1821614181 | Lighthouse Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 5344 Alpha Rd, Dallas, TX 75240-3428 | 2020-06-23 |
| 1306460266 | Revive F W | Substance Abuse Rehabilitation Facility | 10907 Martindale Rd, Houston, TX 77048-2011 | 2020-06-05 |
| 1396365870 | Texas Health Recovery and Wellness Center | Substance Abuse Rehabilitation Facility | 240 N Miller Rd, Mansfield, TX 76063-5842 | 2020-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.