Provider Demographics
NPI:1528071214
Name:NEXUS RECOVERY CENTER, INC.
Entity type:Organization
Organization Name:NEXUS RECOVERY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-321-0156
Mailing Address - Street 1:8733 LA PRADA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-5036
Mailing Address - Country:US
Mailing Address - Phone:214-321-0156
Mailing Address - Fax:214-321-3096
Practice Address - Street 1:8733 LA PRADA DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-5036
Practice Address - Country:US
Practice Address - Phone:214-321-0156
Practice Address - Fax:214-321-3096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX259-A324500000X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX065454301Medicaid