Seacrest Recovery Center Houston, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SEACREST RECOVERY CENTER HOUSTON, LLC

Practice address

10696 Haddington Dr Ste 110
Houston, TX 77043-3247

Phone

(800) 411-8019

NPI assigned

Dec 15, 2020

Organization subpart

No

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

Authorized official

Name

Jared Pruzan

Title

Executive

Phone

(800) 411-8019

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1386230258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 E OCEAN AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355005",
            "telephone_number": "800-411-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10696 HADDINGTON DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770433247",
            "telephone_number": "800-411-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST RECOVERY CENTER HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "PRUZAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "800-411-8019"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4617",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Seaberg, MD
• Elizabeth Seabolt-Esparza, LPC-I
• Megan Seabourn
• Seabrook Private Duty Nursing
• Seacare Medical Services LLC
• Susan Seago, M.D.
• Elli Seal-Mayr, OTR
• Zachary Alvis Seal, MD
• Hollis Hervy Seale, RT (R)
• James Mattison Seale, DDS

• Substance Use Disorder Rehabilitation Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.