Southern Palms Oasis, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

SOUTHERN PALMS OASIS, INC.

Practice address

3936 Lowson Blvd
Delray Beach, FL 33445-5651

Phone

(561) 632-8712

NPI assigned

Jan 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Neil Simon

Title

President, Ceo, Cfo

Phone

(561) 632-8712

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1452384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452384000000",
    "number": "1043676893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3936 LOWSON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455651",
            "telephone_number": "561-632-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 LOWSON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334455651",
            "telephone_number": "561-632-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PALMS OASIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-10",
        "last_updated": "2016-01-10",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT, CEO, CFO",
        "authorized_official_telephone_number": "561-632-8712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (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": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2016; 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.