Organization Active NPI

Alaine Detox Center LLC

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
National Provider Identifier
1043837644
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ALAINE DETOX CENTER LLC
Practice address
3505 Sage Rd Unit 2504
Houston, TX 77056-7183
Phone
(832) 746-9758
NPI assigned
Jun 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Mini Vetticadan
Title
Owner
Phone
(832) 746-9758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3505 Sage Rd Unit 2504
Houston, TX 77056-7183

Mailing address

3505 Sage Rd Unit 2504
Houston, TX 77056-7183
Phone (832) 746-9758

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1043837644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 SAGE RD UNIT 2504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567183",
            "telephone_number": "832-746-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 SAGE RD UNIT 2504",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770567183",
            "telephone_number": "832-746-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAINE DETOX CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "VETTICADAN",
        "authorized_official_first_name": "MINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-746-9758"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.