NPIMap

Organization Active NPI

Luna Recovery Services, LLC

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
National Provider Identifier
1730530155
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
4070-4071 Issued in TX
Legal business name
LUNA RECOVERY SERVICES, LLC
Practice address
5757 Woodway Dr
Suite 110
Houston, TX 77057-1514
Phone
(888) 448-5862
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Authorized official

Name
Robert W Park, LCDC
Title
Ceo
Phone
(832) 785-9663

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X TX
Substance Abuse Rehabilitation Facility 324500000X 4070-4071 TX Primary

Addresses

Primary practice location

5757 Woodway Dr
Suite 110
Houston, TX 77057-1514

Mailing address

5757 Woodway Dr
Suite 110
Houston, TX 77057-1514
Phone (888) 448-5862

National Provider Directory

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

Other organizations with this tax ID 2

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

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1730530155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571514",
            "telephone_number": "888-448-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WOODWAY DR",
            "address_2": "SUITE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571514",
            "telephone_number": "888-448-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2017-02-13",
        "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": "832-785-9663",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "4070-4071",
            "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 Feb 13, 2017; 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.