Moc Beaumont, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOC BEAUMONT, LLC

Doing business as

Rapid Recovery Center of Beaumont

Practice address

2665 N 11TH St
Beaumont, TX 77703-4605

Phone

(512) 277-3345

NPI assigned

Feb 26, 2018

Organization subpart

No

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

Authorized official

Name

Mark Fritz

Title

President

Phone

(512) 277-3345

Specialties & licenses 1

Addresses

Other names 1

• Rapid Recovery Center of Beaumont Doing business as

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1093216988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 506",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132189",
            "telephone_number": "512-277-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 N 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777034605",
            "telephone_number": "512-277-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOC BEAUMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "FRITZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-277-3345"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rapid Recovery Center of Beaumont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.