NPIMap

Organization Active NPI

Phoenix Houses of Texas, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
National Provider Identifier
1265782791
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
865-3340 Issued in TX
Legal business name
PHOENIX HOUSES OF TEXAS, INC.
Practice address
2525 North Loop W Ste 100
Houston, TX 77008-1024
Phone
(713) 426-2637
Fax
(713) 862-1849
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Bart R Loewen
Title
President & Ceo
Phone
(214) 920-1628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 865-3340 TX Primary

Addresses

Primary practice location

2525 North Loop W Ste 100
Houston, TX 77008-1024

Mailing address

1910 Pacific Ave Ste 10500
Dallas, TX 75201-4591
Phone (214) 920-1628

Other identifiers 2

IdentifierTypeStateIssuer
319371601MedicaidTX
865-4388OtherTXFACILITY LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Houses of Texas Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2525 North Loop W
Ste 100
Houston, TX 77008
Phone (713) 426-2637

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1265782791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 10500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014591",
            "telephone_number": "214-920-1628",
            "fax_number": "214-351-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NORTH LOOP W STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770081024",
            "telephone_number": "713-426-2637",
            "fax_number": "713-862-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSES OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "LOEWEN",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-920-1628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "865-3340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319371601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "865-4388",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.