11817 LANDRUM INC – NPI #1922519727
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

11817 LANDRUM INC is a substance abuse rehabilitation facility located in BEAUMONT, TX. NPPES has assigned the NPI number 1922519727 to 11817 LANDRUM INC on October 19, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jul 17, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 11817 LANDRUM INC below.

NPI Profile for
11817 LANDRUM INC

NPI Number
1922519727
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
11817 LANDRUM INC
Other name(s)
All associated names:
Doing Business As (dba)
Connected Path Recovery
Doing Business As (dba)
Woodlands Recovery Centers
Primary location
4351 CROW RD
BEAUMONT, TX 77706-6910
Phone: (409) 299-8555 Fax: (409) 271-3075
1 Other location(s):
11817 Landrum Lane
Montgomery, TX 77356
Phone: (281) 352-5441
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
REGINA TATE
CEO
Phone: (409) 853-2273
Updated
Certification Date
Jul 17, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM0850X
- Clinic/Center / Adult Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.