Active NPI
Resurgence Texas
- Substance Abuse Rehabilitation Facility
- Wimberley, TX
National Provider Identifier
1124627443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RESURGENCE TEXAS
- Practice address
- 10703 Ranch Road 12
Wimberley, TX 78676-5239 - Phone
- (888) 700-5053
- Fax
- (949) 209-5490
- NPI assigned
- Oct 19, 2020
- 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
- Jamie Littleton
- Title
- National Clinical Director
- Phone
- (949) 244-5481
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
10703 Ranch Road 12
Wimberley, TX 78676-5239
Mailing address
10703 Ranch Road 12
Wimberley, TX 78676-5239
Phone (949) 244-5481
National Provider Directory
National Provider DirectoryLocations
10703 Ranch Road 12
Wimberley, TX 78676
Phone (512) 955-5510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650326400000",
"number": "1124627443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10703 RANCH ROAD 12",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765239",
"telephone_number": "949-244-5481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10703 RANCH ROAD 12",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786765239",
"telephone_number": "888-700-5053",
"fax_number": "949-209-5490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESURGENCE TEXAS",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "LITTLETON",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "NATIONAL CLINICAL DIRECTOR",
"authorized_official_telephone_number": "949-244-5481"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.