Organization Active NPI

Texas Health Recovery and Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Mansfield, TX
National Provider Identifier
1902340268
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TEXAS HEALTH RECOVERY AND WELLNESS CENTER
Practice address
240 North Miller Rd
Mansfield, TX 76063
Phone
(682) 812-6150
Fax
(682) 812-6151
NPI assigned
Dec 6, 2016
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Jeff Mincher
Title
Senior VP Revenue Cycle
Phone
(682) 236-3013

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

240 North Miller Rd
Mansfield, TX 76063

Mailing address

PO Box 733551
Dallas, TX 75373-3430
Phone (800) 890-6034

Other identifiers 1

IdentifierTypeStateIssuer
HH668301OtherTXBCBS INPATIENT

National Provider Directory

National Provider Directory
Tax ID family
Texas Health Recovery and Wellness Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

612 E Lamar Blvd
Ste 1500
Arlington, TX 76011

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1902340268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733551",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733430",
            "telephone_number": "800-890-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NORTH MILLER RD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-812-6150",
            "fax_number": "682-812-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HEALTH RECOVERY AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "MINCHER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "SENIOR VP REVENUE  CYCLE",
        "authorized_official_telephone_number": "682-236-3013"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INPATIENT",
            "identifier": "HH668301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.