NPIMap

Organization Active NPI

BRC Outpatient Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Manor, TX
National Provider Identifier
1366838005
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRC OUTPATIENT SERVICES, LLC
Practice address
11502 Parsons Rd
Manor, TX 78653-5220
Phone
(512) 278-4550
Fax
(512) 278-4553
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Amanda Kay Baker, MS, LCDCNPI 1811369671
Title
President
Phone
(972) 835-1963

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)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

11502 Parsons Rd
Manor, TX 78653-5220

Mailing address

11503 Parsons Rd
Manor, TX 78653-5220
Phone (512) 278-4550

National Provider Directory

National Provider Directory

Locations

11502 Parsons Rd
Manor, TX 78653
Phone (512) 273-4550

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1366838005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11503 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "512-278-4550",
            "fax_number": "512-278-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 PARSONS RD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535220",
            "telephone_number": "512-278-4550",
            "fax_number": "512-278-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRC OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-835-1963",
        "authorized_official_credential": "MS, LCDC"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "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 Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.