Sundown Recovery Center, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1936A Issued in TX

Legal business name

SUNDOWN RECOVERY CENTER, INC.

Practice address

3120 VZCR 2318
Canton, TX 75103

Phone

(903) 479-3933

Fax

(903) 479-3601

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Richard Boardman

Title

Ceo

Phone

(903) 479-3933

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902926389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 VZCR 2318",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-479-3933",
            "fax_number": "903-479-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 VZCR 2318",
            "city": "CANTON",
            "state": "TX",
            "postal_code": "75103",
            "telephone_number": "903-479-3933",
            "fax_number": "903-479-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDOWN RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOARDMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-479-3933"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "1936A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX DEPT OF STATE HEALTH",
            "identifier": "1936A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Stanley, MS, BCBA
• Glenn Allen Stern
• Paul Stewart, FNP-C
• Corina Sturgeon, FNP
• Sundown Ranch, Inc.
• Thi of Texas at Canton, LLC
• James Luan Tran, DDS
• John Schiller Turner II, D.O.
• Katherine Benay Turner
• Usrc Canton LLC

• Substance Abuse Rehabilitation Facility in Canton, TX
• Providers in Canton, 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 22, 2020; 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.