NPIMap

Organization Active NPI

Lifetime Recovery

  • Substance Abuse Rehabilitation Facility
  • San Antonio, TX
National Provider Identifier
1124251400
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
10267 Issued in TX
Legal business name
LIFETIME RECOVERY
Practice address
96 Crossroads Boulevard
Ste 200, 201B, 204, 206, 250
San Antonio, TX 78201
Phone
(210) 734-6362
NPI assigned
Sep 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Elliana Esquivel
Title
VP of Finance
Phone
(210) 997-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 10267 TX Primary

Addresses

Primary practice location

96 Crossroads Boulevard
Ste 200, 201B, 204, 206, 250
San Antonio, TX 78201

Mailing address

PO Box 5968
San Antonio, TX 78201-0968
Phone (210) 734-6362

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Recovery2 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.

Locations

96 Crossroads Blvd
Ste 200
San Antonio, TX 78201
Phone (210) 734-6362

1354 Basse Rd
Ste 1
San Antonio, TX 78212

Practitioners & affiliated clinicians

Practitioners 3

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": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1124251400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5968",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782010968",
            "telephone_number": "210-734-6362",
            "fax_number": "210-734-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 CROSSROADS BOULEVARD",
            "address_2": "STE 200, 201B, 204, 206, 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78201",
            "telephone_number": "210-734-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFETIME RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "ESQUIVEL",
        "authorized_official_first_name": "ELLIANA",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "210-997-6688"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "10267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.