Provider Demographics
NPI:1093397416
Name:ARISE RECOVERY CENTERS OF AMERICA LLC
Entity type:Organization
Organization Name:ARISE RECOVERY CENTERS OF AMERICA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-504-6670
Mailing Address - Street 1:5440 HARVEST HILL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-6424
Mailing Address - Country:US
Mailing Address - Phone:888-339-2747
Mailing Address - Fax:888-339-2747
Practice Address - Street 1:10330 LAKE RD STE H
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1698
Practice Address - Country:US
Practice Address - Phone:888-339-2747
Practice Address - Fax:888-339-2747
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARISE RECOVERY CENTERS OF AMERICA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-26
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4194-4665OtherSTATE