MEDICARE: ARISE RECOVERY CENTERS OF AMERICA, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QR0400X	Rehabilitation Clinic/Center
2	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
3	324500000X	Substance Abuse Rehabilitation Facility
4	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4194-4601	OTHER	TX	STATE LICENSE

General Provider Information

NPI Number	:	1306479456
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARISE RECOVERY CENTERS OF AMERICA, LLC

Provider Business Mailing Address
First Line	:	5440 HARVEST HILL RD STE 230
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-6424
Country	:	US
Telephone Number	:	214-504-6670
Fax Number	:	888-339-2747

Provider Business Practice Location Address
First Line	:	1449 HIGHWAY 6 STE 360
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-5146
Country	:	US
Telephone Number	:	888-734-2289
Fax Number	:	888-339-2747

Authorized Official
Title or Position	:	CEO
Name	:	DANNY ANDINO
Credential	:
Telephone Number	:	214-504-6670

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	06/04/2025

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