Recovery Ranger Corps

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RECOVERY RANGER CORPS

Practice address

3426 Shoreside Dr
Garland, TX 75043-1964

Phone

(210) 683-3131

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Gabriel J Kanawite Jr.

Title

President

Phone

(210) 683-3131

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: recoveryrangercorps@pm.me

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603065600000",
    "number": "1427657642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3426 SHORESIDE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431964",
            "telephone_number": "210-683-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3426 SHORESIDE DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431964",
            "telephone_number": "210-683-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY RANGER CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "KANAWITE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-683-3131",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A8467929",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "recoveryRangerCorps@pm.me",
            "affiliation": "N",
            "endpointDescription": "ProtonMail me or Private Message me",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3426 Shoreside Dr",
            "city": "Garland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750431964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• RCR Healthcare Dallas LLC
• Recovered Soul
• Elizabeth John Reddiar, AGPCNP-BC
• Colton Reisinger Redding, D.O.
• Anita M. Reddy, WHCNP
• Dheeraj Reddy, M.D
• Rediclinic US, LLC

• Substance Abuse Rehabilitation Facility in Garland, TX
• Providers in Garland, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.