Organization Active NPI

Rehab South Florida LLC

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1003324625
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REHAB SOUTH FLORIDA LLC
Practice address
4460 Medical Center Way
West Palm Beach, FL 33407-3285
Phone
(863) 532-3151
NPI assigned
Jan 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Whitney McMillan
Title
Director of Operations
Phone
(863) 532-3151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4460 Medical Center Way
West Palm Beach, FL 33407-3285

Mailing address

4460 Medical Center Way Ste 1
West Palm Beach, FL 33407-3285
Phone (352) 388-3111

Other practice location 1

323 W Lantana Rd
Lantana, FL 33462
Phone (561) 815-1046

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherFLTEST

National Provider Directory

National Provider Directory

Locations

323 W Lantana Rd
Lantana, FL 33462
Phone (561) 815-1046

4460 Medical Center Way
Ste 1
West Palm Beach, FL 33407
Phone (561) 815-1046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1003324625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 MEDICAL CENTER WAY STE 1",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073285",
            "telephone_number": "352-388-3111",
            "fax_number": "801-881-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 MEDICAL CENTER WAY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334073285",
            "telephone_number": "863-532-3151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 W Lantana Rd",
            "address_purpose": "LOCATION",
            "city": "Lantana",
            "state": "FL",
            "postal_code": "33462",
            "country_code": "US",
            "telephone_number": "561-815-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REHAB SOUTH FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "863-532-3151"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEST",
            "identifier": "1234",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.