Organization Active NPI

Passages Addiction Rehab Centers of Florida

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
National Provider Identifier
1093161853
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PASSAGES ADDICTION REHAB CENTERS OF FLORIDA
Practice address
8442 S Federal Hwy
Port St Lucie, FL 34952-3306
Phone
(772) 237-4082
NPI assigned
May 11, 2016
Last updated
May 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Nicola Rajaram
Title
Billing Manager
Phone
(954) 272-6723

Specialties & licenses 1

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

Addresses

Primary practice location

8442 S Federal Hwy
Port St Lucie, FL 34952-3306

Mailing address

8442 S Federal Hwy
Port St Lucie, FL 34952-3306
Phone (772) 237-4082

National Provider Directory

National Provider Directory
Tax ID family
Passages Addiction Rehab Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1093161853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8442 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523306",
            "telephone_number": "772-237-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8442 S FEDERAL HWY",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349523306",
            "telephone_number": "772-237-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSAGES ADDICTION REHAB CENTERS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-272-6723"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.