NPIMap

Organization Active NPI

Omega Recovery

  • Substance Abuse Rehabilitation Facility
  • Austin, TX
National Provider Identifier
1699268466
Registry record updated Oct 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
OMEGA RECOVERY
Practice address
1710 Evergreen Ave Ste B
Austin, TX 78704-2955
Phone
(512) 456-9373
NPI assigned
Jun 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2018

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

Authorized official

Name
Nicholas KardarasNPI 1255640132
Title
Ceo
Phone
(631) 764-2873

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
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1710 Evergreen Ave Ste B
Austin, TX 78704-2955

Mailing address

1710 Evergreen Ave Ste B
Austin, TX 78704-2955
Phone (512) 456-9373

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": "1528329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1699268466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 EVERGREEN AVE STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042955",
            "telephone_number": "512-456-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 EVERGREEN AVE STE B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042955",
            "telephone_number": "512-456-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "KARDARAS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-764-2873"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; 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.