NPIMap

Organization Active NPI

Luna Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
National Provider Identifier
1619620598
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LUNA RECOVERY SERVICES, LLC
Practice address
702 Arlington St
Houston, TX 77007-1631
Phone
(832) 930-4863
NPI assigned
Jan 31, 2022
Organization subpart
Yes
Parent organization
LUNA RECOVERY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Robert W Park
Title
Ceo
Phone
(832) 850-2980

Specialties & licenses 1

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

Addresses

Primary practice location

702 Arlington St
Houston, TX 77007-1631

Mailing address

5757 Woodway Dr Ste 110
Houston, TX 77057-1506
Phone (832) 930-4863

National Provider Directory

National Provider Directory
Tax ID family
Luna Recovery Services LLC3 organizations share this tax ID, including this one
Part of
Luna Recovery Services LLC

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1619620598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571506",
            "telephone_number": "832-930-4863",
            "fax_number": "832-850-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 ARLINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770071631",
            "telephone_number": "832-930-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA RECOVERY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUNA RECOVERY SERVICES, LLC",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-850-2980"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 31, 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.