STARLITE RECOVERY CENTER LLC NPI 1730798893

NPI Information

NPI: 1730798893
Provider Name: STARLITE RECOVERY CENTER, LLC

Doing Business As: STARLITE RECOVERY CENTER

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2210 BANDERA HWY STE C-1
KERRVILLE, TX
ZIP 78028
Phone: (800) 292-0148
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STARLITE RECOVERY CENTER, LLC is a rehabilitation and substance use disorder clinic center in Kerrville, TX. STARLITE RECOVERY CENTER, LLC NPI is 1730798893. The provider is registered as an organization entity type.
The provider Is Doing Business As Starlite Recovery Center.

The provider's business location address is:

2210 BANDERA HWY STE C-1
KERRVILLE, TX
ZIP 78028-609
Phone: (800) 292-0148

The provider's authorized official is Christopher Howard .
The authorized official title is Vice President & Secretary and has the following contact phone number (615) 861-6000.

The enumeration date for this NPI number is 7/24/2020 and was last updated on 8/23/2022.

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
1	324500000X	Substance Abuse Rehabilitation Facility				No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4428-4431	OTHER	TEXAS	SUBSTANCE ABUSE TREATMENT FACILITY LICENSE-INTENSIVE RESIDENTIAL
2	4428-4433	OTHER	TEXAS	SUBSTANCE ABUSE TREATMENT FACILITY LICENSE-IR/OP/DETOX-ADOLESCENT
3	4428-4432	OTHER	TEXAS	SUBSTANCE ABUSE TREATMENT FACILITY LICENSE-INTESIVE RESIDENTIAL
4	4428-4430	OTHER	TEXAS	SUBSTANCE ABUSE TREATMENT FACILITY LICENSE-IR/OP/RESIDENT DETOX
5	4570	OTHER	TEXAS	TX DEPT OF STATE HEALTH SERVICES
6	4428-4429	OTHER	TEXAS	SUBSTANCE ABUSE TREATMENT FACILITY LICENSE-ADULT OUTPATIENT

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: 5/5/2024

NPI Synchronization or Removal

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