ADAPT FOUNDATION INC (NPI# 1497985998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497985998 |
| Entity Type | Organization |
| Organization Name | ADAPT FOUNDATION INC |
| Other Organization Name | BRAZOS PLACE |
| Practice Address |
1103 N Avenue H Freeport TX 77541-4006 |
| Mailing Address |
Po Box 474 Angleton TX 77516-0474 |
| Practice Telephone | 9792333826 |
| Practice Fax Number | 9792333708 |
| Mailing Telephone | 9792333826 |
| Mailing Fax Number | 2813775870 |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2016-12-12 |
| Authorized Official Name | JOSEPH GARDZINA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8328922055 |
| Authorized Official Credential | LCDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 3994-3995 | TX | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 065443601 | 05 |
| Other Name | Type Code |
|---|---|
| Brazos Place | Other Name - Individual/Organization |
| Street Address |
1103 N AVENUE H |
| City | FREEPORT |
| State | TX |
| Zip Code | 77541-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952937542 | Talia Fulsom | Licensed Vocational Nurse | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1598391187 | Valerie Simpson | Registered Nurse | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1679109268 | Brenda Riley | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2020-03-16 |
| 1174051213 | Charles Herring | Counselor | 1103 N Avenue H, Freeport, TX 77541-4006 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174909022 | Aida Garza | Counselor | 200 W. 2nd St., Suite 228, Freeport, TX 77541 | 2015-08-03 |
| 1982960720 | Adapt Programs, LLC | Clinic/Center | 210 W 1st Street, Suite B Room 1, Freeport, TX 77541 | 2012-04-05 |
| 1467976530 | Carmen Garcia-garza | Nurse Practitioner | 905 N Gulf Blvd, Freeport, TX 77541 | 2017-07-31 |
| 1326380767 | Mohamed Awni Zebda | Pediatrics | 905 N Gulf Blvd, Freeport, TX 77541 | 2013-03-25 |
| 1003022898 | Nusrat Ahmed | Family Medicine | 905 N Gulf Blvd, Freeport, TX 77541 | 2007-05-16 |
| 1952707861 | Melissa Colvin | Nurse Practitioner | 602 Copper Rd, Freeport, TX 77541-3001 | 2014-11-05 |
| 1083926752 | Stanley H Miller | Preventive Medicine | 2301 N Brazosport Blvd # B-101, Dow Chemical Health Services, Freeport, TX 77541-3203 | 2010-07-09 |
| 1063633303 | Beverly E Morrison | Physical Medicine & Rehabilitation | 1102 N Brazosport Blvd, Freeport, TX 77541-3504 | 2007-05-02 |
| 1114917846 | Atlas Dental Lp | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2005-10-25 |
| 1457727109 | Shine Dental Pllc | Dentist | 1723 N Avenue K, Freeport, TX 77541-3605 | 2015-08-17 |
| Find all providers in zip 77541 | ||||
| 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] |
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|---|---|---|---|---|
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1790143444 | Sojourn House | Substance Abuse Rehabilitation Facility | 565 N Turner Ave, Freeport, IL 61032-3252 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1801496302 | Sunrise Rehab and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1106 N Interstate 35, San Marcos, TX 78666-7030 | 2020-10-26 |
| 1124627443 | Resurgence Texas | Substance Abuse Rehabilitation Facility | 10703 Ranch Road 12, Wimberley, TX 78676-5239 | 2020-10-19 |
| 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 |
| 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.