Organization Active NPI

Brazos Residential Treatment Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Morgan, TX
National Provider Identifier
1346786100
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRAZOS RESIDENTIAL TREATMENT CENTER, LLC
Practice address
257 FM 927
Morgan, TX 76671
Phone
(254) 232-1550
Fax
(254) 775-4040
NPI assigned
Jan 17, 2017
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BRAZOS RECOVERY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Ms. Kimberly Patterson
Title
Owner/Ceo
Phone
(254) 232-1550

Specialties & licenses 1

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

Addresses

Primary practice location

257 FM 927
Morgan, TX 76671

Mailing address

PO Box 92
Morgan, TX 76671-0092
Phone (254) 232-1550

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2130212Brazos Residential Treatment Center, LLC257 FM 927, Morgan, TX 76671Certificate of waiverMay 3, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1346786100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "MORGAN",
            "state": "TX",
            "postal_code": "766710092",
            "telephone_number": "254-232-1550",
            "fax_number": "254-775-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 FM 927",
            "city": "MORGAN",
            "state": "TX",
            "postal_code": "76671",
            "telephone_number": "254-232-1550",
            "fax_number": "254-775-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS RESIDENTIAL TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAZOS RECOVERY SERVICES",
        "enumeration_date": "2017-01-17",
        "last_updated": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "254-232-1550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.

Verify at the official NPI Registry.