NPIMap

Organization Active NPI

Lifeforce Recovery

  • Substance Abuse Rehabilitation Facility
  • San Antonio, TX
National Provider Identifier
1912370248
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
67102 Issued in TX
Legal business name
LIFEFORCE RECOVERY
Practice address
4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401
Phone
(210) 314-7687
Fax
(210) 314-7494
NPI assigned
Nov 9, 2015
Last updated
Nov 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Khadijat Quadri, LPCNPI 1831515477
Title
President
Phone
(210) 314-7687

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 67102 TX Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401

Mailing address

4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401
Phone (210) 314-7687

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, 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": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1912370248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 262",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-314-7687",
            "fax_number": "210-314-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 262",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-314-7687",
            "fax_number": "210-314-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFORCE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "KHADIJAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-314-7687",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "67102",
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.