NPIMap

Organization Active NPI

Prevention and Recovery Center, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Sugar Land, TX
National Provider Identifier
1407426398
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PREVENTION AND RECOVERY CENTER, INC.
Practice address
17510 W Grand Pkwy S Ste 530
Sugar Land, TX 77479-2651
Phone
(714) 828-1800
NPI assigned
Jul 1, 2021
Organization subpart
Yes
Parent organization
PREVENTION AND RECOVERY CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Authorized official

Name
Magdalen Gustilo
Title
Director of Payer Relations
Phone
(714) 568-7667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

17510 W Grand Pkwy S Ste 530
Sugar Land, TX 77479-2651

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 497-3961

National Provider Directory

National Provider Directory
Tax ID family
Prevention and Recovery Center Inc7 organizations share this tax ID, including this one
Part of
Prevention and Recovery Center Inc

Other organizations with this tax ID 6

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1407426398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128531",
            "telephone_number": "714-497-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 W GRAND PKWY S STE 530",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792651",
            "telephone_number": "714-828-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION AND RECOVERY CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREVENTION AND RECOVERY CENTER, INC.",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "714-568-7667"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.