Active NPI
The Arbor West, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Georgetown, TX
National Provider Identifier
1104252956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 34383539
- Legal business name
- THE ARBOR WEST, LLC
- Practice address
- 1443 County Road 103
Georgetown, TX 78626-3854 - Phone
- (512) 868-4952
- NPI assigned
- Sep 24, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Justin Luke Harvey
- Title
- Ceo
- Phone
- (512) 217-1495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 34383539 | TX | Primary |
Addresses
Primary practice location
1443 County Road 103
Georgetown, TX 78626-3854
Mailing address
1443 County Road 103
Georgetown, TX 78626-3854
Other names 1
- Anchor West
National Provider Directory
National Provider Directory- Tax ID family
- Anchor West
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Austin, TX
- NPI 1285998385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1104252956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1443 COUNTY ROAD 103",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786263854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1443 COUNTY ROAD 103",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786263854",
"telephone_number": "512-868-4952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ARBOR WEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "JUSTIN",
"authorized_official_middle_name": "LUKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "512-217-1495"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "TX",
"license": "34383539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Anchor West",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.