Active NPI
Sage Recovery & Wellness Center
- Psychiatric Residential Treatment Facility
- Manor, TX
National Provider Identifier
1093306193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- 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 CENTER
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Sage Recovery Wellness Center
- 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.
-
- Counselor
- Austin, TX
- NPI 1992179485
-
- Substance Abuse Rehabilitation Facility
- Austin, TX
- NPI 1326455809
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.