OUTCOMES DETOX CENTER, LLC (NPI# 1629433917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629433917 |
Entity Type | Organization |
Organization Name | OUTCOMES DETOX CENTER, LLC |
Practice Address |
425 E Los Ebanos Blvd Suites 101 and 108 - 109 Brownsville TX 78520 |
Mailing Address |
425 E Los Ebanos Blvd Suites 108 - 109 Brownsville TX 78520-8481 |
Practice Telephone | 9565463116 |
Enumeration Date | 2015-12-31 |
Last Update Date | 2020-06-23 |
Authorized Official Name | CHRIS A. TRYKA (AR DIRECTOR) |
Authorized Official Telephone | 9565463116 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 381185301 | 05 |
Street Address |
425 E LOS EBANOS BLVD SUITES 101 AND 108 - 109 |
City | BROWNSVILLE |
State | TX |
Zip Code | 78520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629040654 | Jorge R Guevara | Internal Medicine | 425 E Los Ebanos Blvd, Ste 100, Brownsville, TX 78520 | 2006-02-03 |
1750829412 | Springman Professional Plaza, L.p. | Clinic/Center | 425 E Los Ebanos Blvd, Suite 100-a, Brownsville, TX 78520-8481 | 2017-02-02 |
1316484934 | Sol Hospice, LLC | Hospice Care, Community Based | 425 E Los Ebanos Blvd, Suite 103, Brownsville, TX 78520-8481 | 2017-01-20 |
1861735771 | Springman Vein Therapy Clinic | Surgery | 425 E Los Ebanos Blvd, Suite100, Brownsville, TX 78520-8481 | 2013-03-28 |
1710246434 | Jeanette Marie Palacios | Occupational Therapist | 425 E Los Ebanos Blvd, Ste 109, Brownsville, TX 78520-8481 | 2012-05-15 |
1134409097 | Michael Ludwell Lea | Physical Therapist | 425 E Los Ebanos Blvd, Suite 100b, Brownsville, TX 78520-8481 | 2011-08-24 |
1679725915 | Rgv Day & Night Clinic LLC | Internal Medicine | 425 E Los Ebanos Blvd, Suite 104, Brownsville, TX 78520-8481 | 2008-10-17 |
1386783116 | Anesethesia Specialists of Brownsville | Pain Medicine | 425 E Los Ebanos Blvd, Suite# 105, Brownsville, TX 78520-8481 | 2007-02-06 |
1952461543 | Edward R Harrington | Dietitian, Registered | 425 E Los Ebanos Blvd, Suite 100, Brownsville, TX 78520 | 2006-12-12 |
1902913221 | Carlos Manuel Chavez | Surgery | 425 E Los Ebanos Blvd, Suite 103, Brownsville, TX 78520-8481 | 2006-08-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861090243 | Ridgewood Psychiatry Pllc | Psychiatry & Neurology | 832 Ridgewood St, Brownsville, TX 78520 | 2020-10-16 |
1144850520 | Hellen Rurangirwa Md Pa Pediatric Clinic | Pediatrics | 2648 W Alton Gloor, Brownsville, TX 78520 | 2020-01-24 |
1235698911 | South Texas Neurosurgery Associates | Neurological Surgery | 3475 W Alton Gloor Blvd Ste A, Brownsville, TX 78520 | 2019-03-13 |
1952884520 | Bianca Gonzalez | Physical Therapy Assistant | 4834 Beaver Pond Dr., Brownsville, TX 78520 | 2018-09-10 |
1871087775 | Ariana Quiroga | Durable Medical Equipment & Medical Supplies | 2776 W Alton Gloor Blvd Ste 3, Brownsville, TX 78520 | 2018-06-14 |
1134622863 | Ebony Center Pllc | Counselor | 2905 Central Blvd., Suite C, Brownsville, TX 78520 | 2018-03-08 |
1770083560 | Maria D Gaona | Registered Nurse | 2666 Laredo Rd, Brownsville, TX 78520 | 2018-02-18 |
1710496419 | T & B Espino Inc | Technician | 2226 Athens St, Brownsville, TX 78520 | 2017-09-25 |
1558891150 | Horizon Primary Home Care,inc | In Home Supportive Care | 556 W. Elizabeth St. Ste A, Brownsville, TX 78520 | 2017-06-15 |
1306377148 | Jessica Gutierrez | Nurse Practitioner | 2404 El Gusto St, Brownsville, TX 78520 | 2017-03-23 |
Find all providers in zip 78520 |
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 |
---|---|---|---|---|
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 |
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City | BROWNSVILLE |
Zip Code | 78520 |
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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.