CMS-1500 Box 24J / 33a • NPI
1396090403
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
324500000X
Licensed & Credentialed Substance Abuse Rehabilitation Facility
Box 32 Service Location & ZIP+4
122 FISHER ST, ELGIN, TX, 78621-3510
✓ 9-Digit EDI 837 ZIP+4 (78621-3510)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1396090403 (BTRL, LTD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1396090403 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | BTRL, LTD |
| Plain-English Specialty | Licensed & Credentialed Substance Abuse Rehabilitation Facility NUCC Code: 324500000X (Substance Abuse Rehabilitation Facility) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 122 FISHER ST, ELGIN, TX, 78621-3510 |
| Practice Telephone / Fax | Tel: (972) 962-7374 |
| Administrative Mailing Address | PO BOX 757, KAUFMAN, TX, 75142-0757 |
| Enumeration & Last Sync | Enumerated: 2012-07-16 | CMS Record Updated: 2012-07-16 |
| Authorized Official | MATTHEW LUCHINI (Accounts Manager) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (324500000X)
What Does Taxonomy Code 324500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 324500000X translates to:
"Licensed & Credentialed Substance Abuse Rehabilitation Facility"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (BTRL, LTD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
324500000X — Substance Abuse Rehabilitation FacilityPlain English: Licensed & Credentialed Substance Abuse Rehabilitation Facility | State: TX | License: 2385-2385A | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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