NPIMap

Organization Active NPI

Obrc Operations, LLC

Doing business as Driftwood

  • Substance Abuse Rehabilitation Facility
  • Driftwood, TX
National Provider Identifier
1124577440
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
OBRC OPERATIONS, LLC
Doing business as
Driftwood
Practice address
1905 Elder Hill Rd
Driftwood, TX 78619-2102
Phone
(512) 842-6767
Fax
(512) 842-6766
NPI assigned
Sep 28, 2016
Last updated
Sep 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Ms. Vicki Faust
Title
Cfo
Phone
(512) 842-6767

Specialties & licenses 1

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

Addresses

Primary practice location

1905 Elder Hill Rd
Driftwood, TX 78619-2102

Mailing address

1905 Elder Hill Rd
Driftwood, TX 78619-2102
Phone (512) 842-6767

Other names 1

  • Driftwood Doing business as

National Provider Directory

National Provider Directory

Locations

1905 Elder Hill Rd
Driftwood, TX 78619
Phone (512) 324-6767

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1124577440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ELDER HILL RD",
            "city": "DRIFTWOOD",
            "state": "TX",
            "postal_code": "786192102",
            "telephone_number": "512-842-6767",
            "fax_number": "512-842-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ELDER HILL RD",
            "city": "DRIFTWOOD",
            "state": "TX",
            "postal_code": "786192102",
            "telephone_number": "512-842-6767",
            "fax_number": "512-842-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBRC OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-842-6767",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Driftwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Driftwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.