Awakenings Hill Country LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

AWAKENINGS HILL COUNTRY LLC

Doing business as

The Fullbrook Center

Practice address

204 Jefferson
Kerrville, TX 78028

Phone

(830) 302-2922

Fax

(830) 326-6660

NPI assigned

Nov 2, 2023

Last updated

May 8, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

AWAKENINGS HILL COUNTRY LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jose A Miranda

Title

Director of Ur

Phone

(210) 485-8065

Specialties & licenses 2

Addresses

Other names 1

• The Fullbrook Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Awakenings Hill Country LLC2 organizations share this tax ID, including this one

Part of

Awakenings Hill Country LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Awakenings Hill Country LLC

  • Substance Abuse Rehabilitation Facility
  • Fredericksburg, TX
  • NPI 1073999678
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Awakenings Hill Country LLC

  • Substance Abuse Rehabilitation Facility
  • Fredericksburg, TX
  • NPI 1073999678
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Carroll Boone, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Hunt, TX
  • NPI 1043396211
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1003689936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 FULLBROOK LN",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786248313",
            "telephone_number": "830-302-2922",
            "fax_number": "830-326-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 JEFFERSON",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-302-2922",
            "fax_number": "830-326-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKENINGS HILL COUNTRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AWAKENINGS HILL COUNTRY LLC",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF UR",
        "authorized_official_telephone_number": "210-485-8065"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Fullbrook Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Fullbrook Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Bruce Aspinall, PH.D.
• Aspirations Psychological Services PLLC
• Atalee Recovery Center Inc.
• Audiology and Hearing Services of Kerrville PLLC (Hill Country Audiology Service)
• Kayla Avirett Zachry, OD
• Lari Aycock, LCSW
• Rhonda M Bacilieri
• Miriam Backhoff
• Johni Jean Badder, R.N
• Jodie Lyn Baker, APN

• Substance Use Disorder Rehabilitation Clinic/Center in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.