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NPI Code Detail

MEDICARE: WINDMILL WELLNESS RANCH LLC

MEDICARE: WINDMILL WELLNESS RANCH LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1323P00000XPsychiatric Residential Treatment Facility
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
4261QM1300XMulti-Specialty Clinic/Center
5261Q00000XClinic/Center
6283Q00000XPsychiatric Hospital
7324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1063943041
Entity Type Code : Organization
Provider Name (Legal Business Name) : WINDMILL WELLNESS RANCH LLC
Provider Business Mailing Address
First Line : 26229 N CRANES MILL RD
Second Line :
City : CANYON LAKE
State : TX
Zip : 78133-1957
Country : US
Telephone Number : 830-935-2800
Fax Number :
Provider Business Practice Location Address
First Line : 26229 N CRANES MILL RD
Second Line :
City : CANYON LAKE
State : TX
Zip : 78133-1957
Country : US
Telephone Number : 830-935-2800
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANI NARASIMHAN
Credential :
Telephone Number : 830-214-1559
Provider Enumeration Date : 03/22/2017
Last Update Date : 12/15/2025

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Directions to “WINDMILL WELLNESS RANCH LLC ” Practice Location

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