Organization Active NPI

Regrowth Healthcare, LLC

  • Community/Behavioral Health Agency
  • Houston, TX
National Provider Identifier
1861078784
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
REGROWTH HEALTHCARE, LLC
Practice address
11811 North Fwy Ste 100
Houston, TX 77060-3244
Phone
(419) 378-9212
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Tryna SandersNPI 1023528668
Title
President
Phone
(419) 378-9212

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

11811 North Fwy Ste 100
Houston, TX 77060-3244

Mailing address

3618 W Lincolnshire Blvd
Toledo, OH 43606-1111
Phone (419) 378-9212

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1861078784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 W LINCOLNSHIRE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061111",
            "telephone_number": "419-378-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 NORTH FWY STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603244",
            "telephone_number": "419-378-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGROWTH HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "TRYNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-378-9212"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.