Active NPI
SH Detox Houston, LLC
Doing business as Serenity House Detox
- Substance Abuse Rehabilitation Facility
- Houston, TX
National Provider Identifier
1487191235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- SH Detox Houston LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Serenity House Health
- Substance Use Disorder Rehabilitation Clinic/Center
- Houston, TX
- NPI 1932782836
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.