NPIMap

Organization Active NPI

Uprising Addiction Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Shreveport, LA
National Provider Identifier
1811512262
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
UPRISING ADDICTION CENTER, LLC
Practice address
7020 Klug Pines Rd
Shreveport, LA 71129-3300
Phone
(703) 795-8793
NPI assigned
Jun 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Brian Hollins
Title
Ceo
Phone
(318) 683-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

7020 Klug Pines Rd
Shreveport, LA 71129-3300

Mailing address

7020 Klug Pines Rd
Shreveport, LA 71129-3300
Phone (318) 683-4622

Other practice location 1

7020 Klug Pines Rd
Shreveport, LA 71129-3300
Phone (703) 795-8793

Other names 1

  • Uprising Addiction Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Uprising Addiction Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

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": "1591833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1811512262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 KLUG PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293300",
            "telephone_number": "318-683-4622",
            "fax_number": "318-683-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 KLUG PINES RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293300",
            "telephone_number": "703-795-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7020 Klug Pines Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711293300",
            "country_code": "US",
            "telephone_number": "703-795-8793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UPRISING ADDICTION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-11",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-683-4622"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uprising Addiction Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.