Organization Active NPI

Olsen Dean Inc.

  • Substance Abuse Rehabilitation Facility
  • Brenham, TX
National Provider Identifier
1669743753
Registry record updated Jan 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
31563157 Issued in TX
Legal business name
OLSEN DEAN INC.
Doing business as
Freedom Hill
Practice address
1306 N Park St
Brenham, TX 77833-2333
Phone
(979) 337-9696
NPI assigned
Jan 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Authorized official

Name
Mr. Chuck Olsen
Title
Executive Director
Phone
(979) 337-9696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 31563157 TX Primary

Addresses

Primary practice location

1306 N Park St
Brenham, TX 77833-2333

Mailing address

1306 N Park St
Brenham, TX 77833-2333
Phone (979) 337-9696

Other names 1

  • Freedom Hill Doing business as

National Provider Directory

National Provider Directory

Locations

1306 N Park St
Brenham, TX 77833
Phone (979) 337-9696

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327017600000",
    "number": "1669743753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 N PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778332333",
            "telephone_number": "979-337-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 N PARK ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778332333",
            "telephone_number": "979-337-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLSEN DEAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "979-337-9696",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "31563157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.