Milestone Harbor Corporation

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MILESTONE HARBOR CORPORATION

Practice address

441 W Blue Heron Blvd Ste 101
Riviera Beach, FL 33404-4459

Phone

(561) 818-5780

Fax

(561) 228-5964

NPI assigned

Mar 13, 2018

Organization subpart

No

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

Authorized official

Name

Keenan Hobbs

Title

Chief Executive Officer

Phone

(561) 735-1376

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1043713431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32294",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334202294",
            "telephone_number": "561-818-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 W BLUE HERON BLVD STE 101",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334044459",
            "telephone_number": "561-818-5780",
            "fax_number": "561-228-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE HARBOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "KEENAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "561-735-1376"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junior Michel, MSW
• Nicole Micucci
• Sonia Mikanagu
• Amanda Elizabeth Mikell, PSY.D.
• Euphemie Milceus-Girault, APRN
• Paul Francis Milewski
• Yolanda Miller Rivera, RN
• Dominique Miller
• Maura Farrell Miller, PHD, ARNP, BC
• Pamela A. Milstead, RN

• Substance Abuse Rehabilitation Facility in Riviera Beach, FL
• Providers in Riviera 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 Nov 5, 2018; 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.