NPIMap

Organization Active NPI

Palm Beach Recovery and Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1023488905
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1550AD207401 Issued in FL
Legal business name
PALM BEACH RECOVERY AND WELLNESS LLC
Practice address
6600 S Dixie Hwy
West Palm Beach, FL 33405-4404
Phone
(561) 469-1454
NPI assigned
Oct 5, 2015
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Melissa Johnson
Title
Owner
Phone
(561) 469-1454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1550AD207401 FL Primary

Addresses

Primary practice location

6600 S Dixie Hwy
West Palm Beach, FL 33405-4404

Mailing address

6600 S Dixie Hwy
West Palm Beach, FL 33405-4404
Phone (561) 469-1454

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Recovery and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6600 S Dixie Hwy
West Palm Beach, FL 33405
Phone (561) 469-1454

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1023488905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054404",
            "telephone_number": "561-469-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334054404",
            "telephone_number": "561-469-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH RECOVERY AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-469-1454"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1550AD207401",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2015; 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.