NPIMap

Organization Active NPI

San Antonio Lifetime Recovery, Inc.

Doing business as Lifetime Recovery

  • Substance Abuse Rehabilitation Facility
  • San Antonio, TX
National Provider Identifier
1942434725
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
255-A Issued in TX
Legal business name
SAN ANTONIO LIFETIME RECOVERY, INC.
Doing business as
Lifetime Recovery
Practice address
10290 Southton Rd
San Antonio, TX 78223-4835
Phone
(210) 633-0201
Fax
(210) 633-2833
NPI assigned
May 8, 2009
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
David Karney
Title
Executive Director
Phone
(210) 633-0201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 255-C TX
Substance Abuse Rehabilitation Facility 324500000X 255-A TX Primary

Addresses

Primary practice location

10290 Southton Rd
San Antonio, TX 78223-4835

Mailing address

10290 Southton Rd
San Antonio, TX 78223-4835
Phone (210) 633-0201

Other names 1

  • Lifetime Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Recovery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

10290 Southton Rd
San Antonio, TX 78223
Phone (210) 633-0201

Practitioners & affiliated clinicians

Practitioners 3

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1942434725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10290 SOUTHTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234835",
            "telephone_number": "210-633-0201",
            "fax_number": "210-633-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10290 SOUTHTON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234835",
            "telephone_number": "210-633-0201",
            "fax_number": "210-633-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO LIFETIME RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "KARNEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-633-0201"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "255-C",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "TX",
            "license": "255-A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2011; 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.