Organization Active NPI

The Arbor West, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Georgetown, TX
National Provider Identifier
1104252956
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
34383539 Issued in TX
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

Updated by the provider on Sep 24, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anchor West2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.