Organization Active NPI

Innovation Recovery Resource

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stephenville, TX
National Provider Identifier
1144601899
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INNOVATION RECOVERY RESOURCE
Practice address
260 N Belknap St
Stephenville, TX 76401-3449
Phone
(254) 968-5011
Fax
(254) 968-5012
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mrs. Kimberly Renee Howell, LVN
Title
Owner
Phone
(254) 968-5011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

260 N Belknap St
Stephenville, TX 76401-3449

Mailing address

260 N Belknap St
Stephenville, TX 76401-3449
Phone (254) 968-5011

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1144601899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N BELKNAP ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013449",
            "telephone_number": "254-968-5011",
            "fax_number": "254-968-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N BELKNAP ST",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764013449",
            "telephone_number": "254-968-5011",
            "fax_number": "254-968-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION RECOVERY RESOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-968-5011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stephenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.