Southwest Healthcare Ventures

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHWEST HEALTHCARE VENTURES

Doing business as

Cambio Life Recovery Center

Practice address

1903 Doctors Hospital Dr Ste 1
Bridgeport, TX 76426-2276

Phone

(972) 754-6257

NPI assigned

Aug 20, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Don Perry Johnson Sr.

Title

Manager

Phone

(972) 754-6257

Specialties & licenses 1

Addresses

Other names 1

• Cambio Life Recovery Center Doing business as

Locations

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1851649099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 RUSTIC TRL",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343218",
            "telephone_number": "972-754-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 DOCTORS HOSPITAL DR STE 1",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262276",
            "telephone_number": "972-754-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST HEALTHCARE VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "PERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-754-6257",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cambio Life Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Selz, DDS
• Emily Kathleen Smith, O.D.
• Kelli S. Smith, PT
• Alissa Sobieraj, PAC
• Solaris Pharmacy Inc (Solaris Pharmacy)
• Michaelyn Stainton
• Steve Longacre M.D. PA
• Taloni Rae Chrislynn Stone-Saturnio, PTA
• Mihir Umesh Talati, MD
• Russell J Tanner, P.A.-C

• Substance Abuse Rehabilitation Facility in Bridgeport, TX
• Providers in Bridgeport, 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 Aug 28, 2012; 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.