Origins Recovery of Texas LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

3318-3319 Issued in TX

Legal business name

ORIGINS RECOVERY OF TEXAS LLC

Practice address

4610 Padre Blvd
South Padre Island, TX 78597-7327

Phone

(956) 772-9200

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. James Caldwell

Title

Chief Executive Officer

Phone

(214) 283-8500

Specialties & licenses 1

Addresses

Other names 1

• Origins Recovery Centers Other name

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1851603708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 MAPLE AVE STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193241",
            "telephone_number": "214-817-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 PADRE BLVD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977327",
            "telephone_number": "956-772-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 West Aries Drive",
            "address_purpose": "LOCATION",
            "city": "South Padre Island",
            "state": "TX",
            "postal_code": "78597",
            "country_code": "US",
            "telephone_number": "956-772-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORIGINS RECOVERY OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-283-8500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "3318-3319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origins Recovery Centers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Origins Recovery Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jennifer Pinkerton, LCSW, LCDC
• Recovery Medical Group, PA

• Substance Abuse Rehabilitation Facility in South Padre Island, TX
• Providers in South Padre Island, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.