NPIMap

Organization Active NPI

Vcphcs VII, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Windcrest, TX
National Provider Identifier
1992966584
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
VCPHCS VII, LLC
Doing business as
Medmark Treatment Centers San Antonio Quincy
Practice address
5121 Crestway Rd Ste 201
Windcrest, TX 78239-1975
Phone
(210) 299-1614
Fax
(214) 365-6150
NPI assigned
Jun 17, 2008
Organization subpart
Yes
Parent organization
MEDMARK TREATMENT CENTERS OF TEXAS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Bruce Jarvie
Title
VP, Treasurer
Phone
(214) 379-3300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 1000043 TX
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X TX Primary

Addresses

Primary practice location

5121 Crestway Rd Ste 201
Windcrest, TX 78239-1975

Mailing address

1720 Lakepointe Dr Ste 117
Lewisville, TX 75057-6425
Phone (214) 379-3300

Other identifiers 1

IdentifierTypeStateIssuer
1000043OtherTXNTP LICENSE

Other names 1

  • Medmark Treatment Centers San Antonio Quincy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505000215 TX Part B Supplier - Opioid Treatment Program (Otp) 1052629177 Practice locations: Windcrest, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1101077Vcphcs VII LLC5121 Crestway Rd, Suite 201, Windcrest, TX 78239Certificate of waiverJun 18, 2027

National Provider Directory

National Provider Directory
Part of
Medmark Treatment Ctr of TX

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

519 E Quincy St
San Antonio, TX 78215
Phone 2102991614 ext. 1596

5121 Crestway Rd
Ste 201
Windcrest, TX 78239
Phone (210) 299-1614

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1992966584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 LAKEPOINTE DR STE 117",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576425",
            "telephone_number": "214-379-3300",
            "fax_number": "214-850-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5121 CRESTWAY RD STE 201",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782391975",
            "telephone_number": "210-299-1614",
            "fax_number": "214-365-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VCPHCS VII, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDMARK TREATMENT CENTERS OF TEXAS, INC",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "JARVIE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP, TREASURER",
        "authorized_official_telephone_number": "214-379-3300"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "TX",
            "license": "1000043",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NTP LICENSE",
            "identifier": "1000043",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medmark Treatment Centers San Antonio Quincy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medmark Treatment Centers San Antonio Quincy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windcrest, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.