Organization Active NPI

Nova Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Wimberley, TX
National Provider Identifier
1114274271
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
3502-3503 Issued in TX
Legal business name
NOVA RECOVERY LLC
Practice address
601 Old Oaks Ranch Rd
Wimberley, TX 78676-5972
Phone
(512) 858-9600
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Blanca Garcia
Title
Revenue Cycle Manager
Phone
(512) 213-6341

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 3502-3503 TX Primary

Addresses

Primary practice location

601 Old Oaks Ranch Rd
Wimberley, TX 78676-5972

Mailing address

601 Old Oaks Ranch Rd
Wimberley, TX 78676-5972
Phone (512) 213-6341

Other practice location 1

7211 Northeast Dr
Austin, TX 78723-1496
Phone (512) 858-9600

Other names 1

  • Nova Recovery Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2093856Nova Recovery Center601 Old Paks Ranch Road, Wimberley, TX 78676Certificate of waiverApr 5, 2027
45D2111742Nova Recovery,LLC7211 Northeast Dr, Austin, TX 78723Certificate of waiverApr 12, 2028

National Provider Directory

National Provider Directory

Locations

601 Old Oaks Ranch Rd
Wimberley, TX 78676
Phone (512) 230-9103

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1114274271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 OLD OAKS RANCH RD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765972",
            "telephone_number": "512-213-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD OAKS RANCH RD",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786765972",
            "telephone_number": "512-858-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Northeast Dr",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787231496",
            "country_code": "US",
            "telephone_number": "512-858-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "512-213-6341"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3502-3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nova Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nova Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wimberley, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.