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OMEGA RECOVERY NPI 1699268466


NPI Information

NPI: 1699268466
Provider Name: OMEGA RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 45D2168067

Address:
1710 EVERGREEN AVE STE B
AUSTIN, TX
ZIP 78704
Phone: (512) 456-9373
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OMEGA RECOVERY is a substance abuse rehabilitation facility in Austin, 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. OMEGA RECOVERY NPI is 1699268466. The provider is registered as an organization entity type.

The provider's business location address is:

1710 EVERGREEN AVE STE B
AUSTIN, TX
ZIP 78704-955
Phone: (512) 456-9373

The provider's authorized official is Nicholas Kardaras .
The authorized official title is Ceo and has the following contact phone number (631) 764-2873.

The CLIA number assigned to this NPI record is 45D2168067 - other - sa/mh iop php facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 10/1/2018.


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
1324500000XSubstance 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: 4/28/2024

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