Active NPI
Sundown Ranch, Inc.
- Substance Abuse Rehabilitation Facility
- Canton, TX
National Provider Identifier
1225173263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 369A
- Legal business name
- SUNDOWN RANCH, INC.
- Practice address
- 3120 VZCR 2318
Canton, TX 75103 - Phone
- (903) 479-3933
- Fax
- (903) 479-3222
- NPI assigned
- Feb 20, 2007
- 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
- Mr. Steven Wayne Echols
- Title
- Program Director
- Phone
- (903) 479-3933
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 369A | TX | Primary |
Addresses
Primary practice location
3120 VZCR 2318
Canton, TX 75103
Mailing address
1311 W Irving Blvd
Irving, TX 75061-7220
Phone (903) 479-3933
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0959183 | Sundown Ranch Inc | Certificate of waiver | Apr 4, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1083692248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421107200000",
"number": "1225173263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 W IRVING BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750617220",
"telephone_number": "903-479-3933",
"fax_number": "903-479-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 VZCR 2318",
"city": "CANTON",
"state": "TX",
"postal_code": "75103",
"telephone_number": "903-479-3933",
"fax_number": "903-479-3222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNDOWN RANCH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2015-01-13",
"status": "A",
"authorized_official_last_name": "ECHOLS",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "903-479-3933",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "TX",
"license": "369A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.