THE FULLBROOK CENTER
NPI 1003689936
Clinic/Center - Rehabilitation, Substance Use Disorder in Kerrville, TX

Active since November 02, 2023CLIA Certified · 2 labs
204 JEFFERSON, KERRVILLE, TX 78028(830) 302-2922(830) 326-6660 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2024, Apr 30, 2024, Mar 6, 2024 and 1 more (4 updates tracked since 2023).

About The Fullbrook Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE FULLBROOK CENTER (NPI 1003689936) is a healthcare organization registered as a rehabilitation, substance use disorder in Kerrville, Texas and active in the NPI registry since November 2023. The organization holds 2 active CLIA laboratory certificates and lists Jose A Miranda, Director Of Ur, as its authorized official.

NPPES Registry Identity

NPI1003689936
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameAWAKENINGS HILL COUNTRY LLC
Location Address204 JEFFERSONKerrville, TX 78028
Mailing Address184 Fullbrook LnFredericksburg, TX 78624-8313 · (830) 302-2922 · Fax (830) 326-6660
Fax(830) 326-6660
Organization SubpartYes
Authorized OfficialJose A MirandaDirector Of Ur · (210) 485-8065
Enumeration DateNovember 2, 2023
Last NPPES UpdateMay 8, 20244 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1003689936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
204 JEFFERSON, Kerrville, TX 78028

Other Names 1

Doing Business AsThe Fullbrook Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2300205

The Fullbrook Center - Iop · Kerrville, TX
Active · expires Mar 4, 2028
CLIA Number45D2300205
Laboratory TypeIntensive Outpatient Prog
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorChasity Price
Laboratory Phone(830) 890-5550
Laboratory LocationThe Fullbrook Center - Iop204 Jefferson St, Kerrville, TX 78028
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2247926

Awakenings Hill Country Dba Fullbrook Center · Fredericksburg, TX
Active · expires Jan 9, 2028
CLIA Number45D2247926
Laboratory TypeSubstance Use Treatment
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorChastity Price
Laboratory Phone(817) 682-4124
Laboratory LocationAwakenings Hill Country Dba Fullbrook Center184 Fullbrook Lane, Fredericksburg, TX 78624
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Awakenings Hill Country LLC's NPI number?

The NPI number for Awakenings Hill Country LLC is 1003689936. It was assigned to this organization in the NPPES registry on November 2, 2023. The provider is doing business as The Fullbrook Center.

Where is Awakenings Hill Country LLC located?

Awakenings Hill Country LLC is located at 204 Jefferson, Kerrville, TX 78028. The listed phone number is (830) 302-2922.

What is Awakenings Hill Country LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Awakenings Hill Country LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Awakenings Hill Country LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Awakenings Hill Country LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Awakenings Hill Country LLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.