ETHOS PRAIRIE LLC NPI 1598306862

NPI Information

  • NPI: 1598306862
  • Provider Name: ETHOS PRAIRIE, LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: THE PRAIRIE RECOVERY CENTER
  • CLIA Number: 45D2280300
  • Address: 5808 WAGNER RD
    ROUND TOP, TX
    ZIP 78954
  • Phone: (979) 836-4975

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NPI Details

ETHOS PRAIRIE, LLC is a substance abuse rehabilitation facility in Round Top, 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. ETHOS PRAIRIE, LLC NPI is 1598306862. The provider is registered as an organization entity type.
The provider Is Doing Business As The Prairie Recovery Center.

The provider's business location address is:

5808 WAGNER RD
ROUND TOP, TX
ZIP 78954-075
Phone: (979) 836-4975

The provider's authorized official is Jillian Snow .
The authorized official title is Administrator and has the following contact phone number (832) 436-4260.

The CLIA number assigned to this NPI record is 45D2280300 - other - inpatient substance and a with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 5/12/2024.

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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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