101 Farm to Market LLC
Organization Active NPI Substance Abuse Rehabilitation Facility · Georgetown, TX
NPI 1780428441 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1780428441
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- 101 FARM TO MARKET LLC
- Practice address
- 101 FM 971
Georgetown, TX 78626-4546 - Phone
- (816) 547-9248
- NPI assigned
- Jun 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Ms. Heather Cooley
- Title
- Coo
- Phone
- (512) 839-3895
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2324717 | Vered at San Gabriel | Certificate of waiver | May 29, 2027 |
National Provider Directory
Locations
101 FM 971
Georgetown, TX 78626
Phone (512) 868-6275
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
101 FM 971
Georgetown, TX 78626-4546
Mailing address
101 FM 971
Georgetown, TX 78626-4546
Other names
- Vered at San Gabriel
Other providers in Georgetown, TX
- .Sunstar Geriatrics Healthcare PA
- A Vekariya PLLC
- A-Sun Natural Health Center, LTD.
- A&E Saferide Care
- Justin David Aaker
- ABA Today, LLC
All providers in Georgetown, TX · Substance Abuse Rehabilitation Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.