BROKEN WINGS RECOVERY CENTER, LLC – NPI #1952935983
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.

BROKEN WINGS RECOVERY CENTER, LLC is a substance abuse rehabilitation facility located in BASTROP, LA. NPPES has assigned the NPI number 1952935983 to BROKEN WINGS RECOVERY CENTER, LLC on February 28, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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.

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 BROKEN WINGS RECOVERY CENTER, LLC below.

NPI Profile for
BROKEN WINGS RECOVERY CENTER, LLC

NPI Number
1952935983
Enumeration Date

(more than 6 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
BROKEN WINGS RECOVERY CENTER, LLC
Primary location
2869 NEW MONROE ROAD
BASTROP, LA 71220
Phone: (318) 538-0500 Fax: (318) 538-0506
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BECKY PARKS
ADMINISTRATOR
Phone: (318) 538-0500
Updated
Certification Date
Feb 28, 2020

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)

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.