NPIMap

Organization Active NPI

Cenikor Foundation

Doing business as Joseph R Briscoe Treatment Center Detox

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1447530134
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CENIKOR FOUNDATION
Doing business as
Joseph R Briscoe Treatment Center Detox
Practice address
4012 Avenue H
Lake Charles, LA 70615-5186
Phone
(337) 491-2355
Fax
(337) 491-2492
NPI assigned
Aug 25, 2011
Last updated
Nov 10, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
CENIKOR FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Matt Kuhlman
Title
Cfo
Phone
(713) 266-9944

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X 481 LA

Addresses

Primary practice location

4012 Avenue H
Lake Charles, LA 70615-5186

Mailing address

PO Box 4785
MSC 675
Houston, TX 77210
Phone (713) 266-9944

Other names 1

  • Joseph R Briscoe Treatment Center Detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cenikor Foundation27 organizations share this tax ID, including this one
Part of
Cenikor Foundation

Other organizations with this tax ID 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1447530134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4785",
            "address_2": "MSC 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210",
            "telephone_number": "713-266-9944",
            "fax_number": "713-574-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 AVENUE H",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706155186",
            "telephone_number": "337-491-2355",
            "fax_number": "337-491-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENIKOR FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENIKOR FOUNDATION",
        "enumeration_date": "2011-08-25",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "KUHLMAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-266-9944"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "LA",
            "license": "481",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph R Briscoe Treatment Center Detox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joseph R Briscoe Treatment Center Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.