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NEXUS RECOVERY CENTER INC. NPI 1528071214


NPI Information

NPI: 1528071214
Provider Name: NEXUS RECOVERY CENTER, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2093167

Address:
8733 LA PRADA DR
DALLAS, TX
ZIP 75228
Phone: (214) 321-0156
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NEXUS RECOVERY CENTER, INC. is a substance abuse rehabilitation facility in Dallas, TX. The provider is 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. NEXUS RECOVERY CENTER, INC. NPI is 1528071214. The provider is registered as an organization entity type.

The provider's business location address is:

8733 LA PRADA DR
DALLAS, TX
ZIP 75228-036
Phone: (214) 321-0156
Fax: (214) 321-3096

The provider's authorized official is A. Rebecca Crowell .
The authorized official title is Executive Director and has the following contact phone number (214) 321-0156.

The CLIA number assigned to this NPI record is 45D2093167 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/19/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder259-ATEXASNo
2324500000XSubstance Abuse Rehabilitation Facility259-ATEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1065454301MEDICAIDTEXAS

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: 11/14/2023

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