Organization Active NPI

Namaste Recovery Management LLC

  • Recovery Care Clinic/Center
  • Bedford, TX
National Provider Identifier
1063994044
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
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

Updated by the provider on Sep 5, 2018

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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.