Organization Active NPI

Fifth Direction

  • Substance Abuse Rehabilitation Facility
  • Galveston, TX
National Provider Identifier
1760089767
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FIFTH DIRECTION
Practice address
4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346
Phone
(281) 619-8550
NPI assigned
Oct 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Dean Alan Sims, LCDCNPI 1386046423
Title
Facilitator
Phone
(281) 780-9014

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

4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346

Mailing address

4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346
Phone (281) 780-9014

Other names 1

  • SIRIUS-RECOVERY Doing business as

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": "1601769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1760089767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 AVENUE R 1/2 REAR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507346",
            "telephone_number": "281-780-9014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 AVENUE R 1/2 REAR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775507346",
            "telephone_number": "281-619-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFTH DIRECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "FACILITATOR",
        "authorized_official_telephone_number": "281-780-9014",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIRIUS-RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.