SAN GABRIEL RECOVERY RANCH LLC (NPI# 1487955811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487955811 |
| Entity Type | Organization |
| Organization Name | SAN GABRIEL RECOVERY RANCH LLC |
| Other Organization Name | THE ARBOR |
| Practice Address |
1443 County Road 103 Georgetown TX 78626-3854 |
| Practice Telephone | 5128695545 |
| Practice Fax Number | 5122331762 |
| Mailing Telephone | 5128695545 |
| Mailing Fax Number | 5122331762 |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |
| Authorized Official Name | JIM WALKER (CEO) |
| Authorized Official Telephone | 5127857852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 3338-3339 | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| The Arbor | Doing Business As Name - Organization |
| Street Address |
1443 COUNTY ROAD 103 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609842012 | Russell H Carter | Physical Medicine & Rehabilitation | 1443 County Road 103, Georgetown, TX 78626-3854 | 2006-02-24 |
| 1104252956 | The Arbor West, LLC | Clinic/Center | 1443 County Road 103, Georgetown, TX 78626-3854 | 2013-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| 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 |
|---|---|---|---|---|
| 1750779500 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 1154 Lexington Rd., Building C, Suite A, Georgetown, KY 40324-9797 | 2015-01-02 |
| 1033717442 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 3107 Cincinnati Rd, Georgetown, KY 40324-9505 | 2020-10-16 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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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.