Organization Active NPI

Sage Recovery & Wellness Center

  • Psychiatric Residential Treatment Facility
  • Manor, TX
National Provider Identifier
1093306193
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SAGE RECOVERY & WELLNESS CENTER
Practice address
7201 Gilbert Rd
Manor, TX 78653-5346
Phone
(512) 306-1394
NPI assigned
Feb 1, 2021
Organization subpart
Yes
Parent organization
SAGE RECOVERY & WELLNESS CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Authorized official

Name
Tiffany Dawn Anschutz, LCSW
Title
President & Founder
Phone
(512) 306-1394

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

7201 Gilbert Rd
Manor, TX 78653-5346

Mailing address

7201 Gilbert Rd
Manor, TX 78653-5346
Phone (512) 306-1394

Other names 1

  • Sage Recovery Villa Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sage Recovery Wellness Center3 organizations share this tax ID, including this one
Part of
Sage Recovery Wellness Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1093306193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 GILBERT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535346",
            "telephone_number": "512-306-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 GILBERT RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535346",
            "telephone_number": "512-306-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGE RECOVERY & WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAGE RECOVERY & WELLNESS CENTER",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "ANSCHUTZ",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRESIDENT & FOUNDER",
        "authorized_official_telephone_number": "512-306-1394",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sage Recovery Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.