Madam LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MADAM LLC

Doing business as

Benchmark Recovery Services

Practice address

11503 Parsons Rd
Manor, TX 78653-5220

Phone

(954) 678-0078

NPI assigned

Apr 4, 2013

Organization subpart

No

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

Authorized official

Name

Marsha Stone

Title

Owner

Phone

(954) 678-0078

Specialties & licenses 2

Addresses

Other names 1

• Benchmark Recovery Services Doing business as

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1073856340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "954-678-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11503 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "954-678-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-678-0078"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D205579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benchmark Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Longue Dessug, LPC-A
• Taylor Love, LMT
• Patrick D. Lowe, LCDC
• Lta Physicians Group
• Lumen Cares LLC
• Dieu Mai
• Jan Mann, LPC
• Manor Birth Sanctuary
• Manor Dental Associates
• Manor Family Orthodontics, PLLC (Manor Orthodontics)

• Substance Use Disorder Rehabilitation Clinic/Center in Manor, TX
• Providers in Manor, 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 Apr 4, 2013; 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.