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MALLARD LAKE RANCH DETOX CENTER, LLC
NPI 1265024566
Substance Abuse Rehabilitation Facility in Hockley, TX

Active since February 08, 2021CLIA 45D2221074 · Waiver
18407 HOPFE RD., HOCKLEY, TX 77447(936) 800-8025(281) 781-2526 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallard Lake Ranch Detox Center, Llc NPPES

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

MALLARD LAKE RANCH DETOX CENTER, LLC (NPI 1265024566) is a healthcare organization registered as a substance abuse rehabilitation facility in Hockley, Texas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Kristi Taylor, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1265024566
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMALLARD LAKE RANCH DETOX CENTER, LLC
Location Address18407 HOPFE RD.Hockley, TX 77447-7119
Mailing AddressP.o. Box 1104Humble, TX 77347-1104 · (713) 444-0614 · Fax (281) 781-2526
Phone(936) 800-8025
Fax(281) 781-2526
Organization SubpartNo
Authorized OfficialKristi TaylorCeo/owner · (713) 444-0614
Enumeration DateFebruary 8, 2021
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 8, 2021
✔ NPI 1265024566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
18407 HOPFE RD., Hockley, TX 77447
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CLIA Laboratory Certificates CMS CLIA

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 45D2221074

Mallard Lake Ranch Detox Center, LLC · Hockley, TX
Active · expires Apr 18, 2027
CLIA Number45D2221074
Laboratory TypeChemical Dy Treat Facilit
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorMatthew Brams
Laboratory Phone(832) 248-4636
Laboratory LocationMallard Lake Ranch Detox Center, LLC18407 Hopfe Road, Hockley, TX 77447
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 Mallard Lake Ranch Detox Center, LLC's NPI number?

The NPI number for Mallard Lake Ranch Detox Center, LLC is 1265024566. It was assigned to this organization in the NPPES registry on February 8, 2021.

Where is Mallard Lake Ranch Detox Center, LLC located?

Mallard Lake Ranch Detox Center, LLC is located at 18407 Hopfe Rd., Hockley, TX 77447. The listed phone number is (936) 800-8025.

What is Mallard Lake Ranch Detox Center, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Mallard Lake Ranch Detox Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2221074) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mallard Lake Ranch Detox Center, LLC was last updated on February 22, 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.