Organization Active NPI

SH Detox Houston, LLC

Doing business as Serenity House Detox

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
National Provider Identifier
1487191235
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SH DETOX HOUSTON, LLC
Doing business as
Serenity House Detox
Practice address
9714 S Gessner Rd
Houston, TX 77071-1004
Phone
(832) 240-3024
Fax
(954) 212-2328
NPI assigned
Jan 31, 2017
Last updated
Feb 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Stacey Butler
Title
Director of LCC
Phone
(410) 807-8471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X FL Primary

Addresses

Primary practice location

9714 S Gessner Rd
Houston, TX 77071-1004

Mailing address

PO Box 2070
Hallandale, FL 33008-2070
Phone (954) 336-7747

Other practice location 1

1450 Campbell Rd Ste 100&200
Houston, TX 77055-4667
Phone (832) 240-3024

Other names 1

  • Serenity House Detox Doing business as

National Provider Directory

National Provider Directory
Tax ID family
SH Detox Houston LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1450 Campbell Rd
Ste 100200
Houston, TX 77055
Phone (832) 240-3024

NPI Registry JSON

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1487191235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330082070",
            "telephone_number": "954-336-7747",
            "fax_number": "954-212-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9714 S GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711004",
            "telephone_number": "832-240-3024",
            "fax_number": "954-212-2328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Campbell Rd Ste 100&200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770554667",
            "country_code": "US",
            "telephone_number": "832-240-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SH DETOX HOUSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2022-02-14",
        "certification_date": "2022-01-10",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "DIRECTOR OF LCC",
        "authorized_official_telephone_number": "410-807-8471"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity House Detox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.