Integrated Healthcare L.L.P.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

INTEGRATED HEALTHCARE L.L.P.

Doing business as

Hazel Street Recovery Center

Practice address

1217 Hazel St
Texarkana, TX 75501-4432

Phone

(903) 791-0385

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Novelle

Title

Partner

Phone

(501) 227-7305

Specialties & licenses 1

Addresses

Other names 1

• Hazel Street Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437220969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 N PIERCE ST",
            "address_2": "STE. 202",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722075349",
            "telephone_number": "501-227-7305",
            "fax_number": "501-227-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 HAZEL ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014432",
            "telephone_number": "903-791-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVELLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "501-227-7305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hazel Street Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Children's Substance Abuse Rehabilitation Facility in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Children's Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.