Organization Active NPI

Cen-Tex Alcoholic Rehabilitation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Temple, TX
National Provider Identifier
1730713769
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CEN-TEX ALCOHOLIC REHABILITATION CENTER, INC.
Practice address
2410 E Adams Ave
Temple, TX 76501-4600
Phone
(254) 778-2286
NPI assigned
Feb 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Randy Young
Title
Executive Director
Phone
(254) 778-2286

Specialties & licenses 2

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

Addresses

Primary practice location

2410 E Adams Ave
Temple, TX 76501-4600

Mailing address

2410 E Adams Ave
Temple, TX 76501-4600
Phone (254) 778-2286

Other identifiers 1

IdentifierTypeStateIssuer
275OtherTXSUD FACILITY LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL cmbhs.com Health Information Exchange (HIE)
CONNECT URL randy.young@centex-arc.org

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2325031Cen-Tex Alcoholic Rehabilitation Center2410 E. Adams Avenue, Temple, TX 76501Certificate of waiverJun 4, 2027

National Provider Directory

National Provider Directory

Locations

2410 E Adams Ave
Temple, TX 76501
Phone (254) 778-2286

NPI Registry JSON

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1730713769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 E ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014600",
            "telephone_number": "254-778-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 E ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765014600",
            "telephone_number": "254-778-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEN-TEX ALCOHOLIC REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-10-18",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "254-778-2286"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUD FACILITY LICENSE",
            "identifier": "275",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmbhs.com",
            "affiliation": "N",
            "endpointDescription": "HHSC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2410 E Adams Ave",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765014600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "randy.young@centex-arc.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2410 E Adams Ave",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765014600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.