Organization Active NPI

A1 Recovery Clinic, LLC

Doing business as Precious Healing Care

  • Multi-Specialty Clinic/Center
  • Carrollton, TX
National Provider Identifier
1477241560
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
A1 RECOVERY CLINIC, LLC
Doing business as
Precious Healing Care
Practice address
3648 Old Denton Rd Ste 110C
Carrollton, TX 75007-7980
Phone
(972) 313-5017
NPI assigned
Apr 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Sheeba Mathai, APRN, FNP-BCNPI 1477988475
Title
Authorized Official
Phone
(972) 313-5017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3648 Old Denton Rd Ste 110C
Carrollton, TX 75007-7980

Mailing address

3648 Old Denton Rd Ste 110C
Carrollton, TX 75007-7980
Phone (972) 313-5017

Other names 1

  • Precious Healing Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250123002227 TX Part B Supplier - Clinic/Group Practice 0648709451 Receives reassigned benefits from 1 practitioner
Practice locations: Carrollton, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1477241560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 OLD DENTON RD STE 110C",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750077980",
            "telephone_number": "972-313-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 OLD DENTON RD STE 110C",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750077980",
            "telephone_number": "972-313-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A1 RECOVERY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "SHEEBA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "972-313-5017",
        "authorized_official_credential": "APRN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precious Healing Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.