Active NPI
Namaste Recovery Management LLC
- Recovery Care Clinic/Center
- Bedford, TX
National Provider Identifier
1063994044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Legal business name
- NAMASTE RECOVERY MANAGEMENT LLC
- Practice address
- 912 Glenda Dr
Bedford, TX 76022-7019 - Phone
- (719) 553-7929
- NPI assigned
- Sep 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Penny Gayle McKenzie, MA
- Title
- Owner/Recovery Manager
- Phone
- (719) 553-7929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | Primary |
Addresses
Primary practice location
912 Glenda Dr
Bedford, TX 76022-7019
Mailing address
912 Glenda Dr
Bedford, TX 76022-7019
Phone (719) 553-7929
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Pueblo, CO
- NPI 1518180082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536105600000",
"number": "1063994044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 GLENDA DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760227019",
"telephone_number": "719-553-7929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 GLENDA DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760227019",
"telephone_number": "719-553-7929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMASTE RECOVERY MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-05",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "PENNY",
"authorized_official_middle_name": "GAYLE",
"authorized_official_title_or_position": "OWNER/RECOVERY MANAGER",
"authorized_official_telephone_number": "719-553-7929",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.