Organization Active NPI

Into Action Treatment, L.L.C.

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
National Provider Identifier
1013288398
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
09504147Z Issued in FL
Legal business name
INTO ACTION TREATMENT, L.L.C.
Practice address
2310 SE 2ND St
Suite 7
Boynton Beach, FL 33435-7280
Phone
(561) 336-2162
Fax
(561) 336-2258
NPI assigned
Jan 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mr. Andrey Rossin
Title
Managing Partner
Phone
(786) 942-0502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 09504147Z FL Primary

Addresses

Primary practice location

2310 SE 2ND St
Suite 7
Boynton Beach, FL 33435-7280

Mailing address

2310 SE 2ND St
Suite 4
Boynton Beach, FL 33435-7280
Phone (561) 336-2162

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1013288398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SE 2ND ST",
            "address_2": "SUITE 4",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357280",
            "telephone_number": "561-336-2162",
            "fax_number": "561-336-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SE 2ND ST",
            "address_2": "SUITE 7",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357280",
            "telephone_number": "561-336-2162",
            "fax_number": "561-336-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO ACTION TREATMENT, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "ROSSIN",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "786-942-0502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "09504147Z",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; 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.