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ROOTS ADOLESCENT RENEWAL RANCH
NPI 1700540515
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Argyle, TX

Active since October 27, 2021CLIA 45D2232258 · Waiver
819 INDIAN TRL, ARGYLE, TX 76226(888) 399-0489 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roots Adolescent Renewal Ranch NPPES

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

ROOTS ADOLESCENT RENEWAL RANCH (NPI 1700540515) is a healthcare organization registered as a substance abuse treatment, children in Argyle, Texas and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Heather Hudiburgh, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1700540515
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameROOTS ADOLESCENT RENEWAL RANCH
Location Address819 INDIAN TRLArgyle, TX 76226-6831
Mailing Address819 Indian TrlArgyle, TX 76226-6831 · (888) 399-0489
Phone(888) 399-0489
Organization SubpartNo
Authorized OfficialHeather HudiburghDirector Of Operations · (940) 999-8529
Enumeration DateOctober 27, 2021
Last NPPES UpdateDecember 13, 2022
NPPES CertifiedDecember 13, 2022
✔ NPI 1700540515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
819 INDIAN TRL, Argyle, TX 76226
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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 45D2232258

Roots Adolescent Renewal Ranch Inc · Argyle, TX
Active · expires Aug 10, 2027
CLIA Number45D2232258
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorMichelle Schwolert
Laboratory Phone(214) 415-6225
Laboratory LocationRoots Adolescent Renewal Ranch Inc819 Indian Trail, Argyle, TX 76226
CLIA data matches this NPI record on: 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 Roots Adolescent Renewal Ranch's NPI number?

The NPI number for Roots Adolescent Renewal Ranch is 1700540515. It was assigned to this organization in the NPPES registry on October 27, 2021.

Where is Roots Adolescent Renewal Ranch located?

Roots Adolescent Renewal Ranch is located at 819 Indian Trl, Argyle, TX 76226. The listed phone number is (888) 399-0489.

What is Roots Adolescent Renewal Ranch's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

Does Roots Adolescent Renewal Ranch hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2232258) is associated with this NPI, valid through August 10, 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 Roots Adolescent Renewal Ranch was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.