NPIMap

Organization Active NPI

Restore Hope of Jensen Beach, LLC

  • Recovery Care Clinic/Center
  • Jensen Beach, FL
National Provider Identifier
1104367085
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
License
4381356911601 Issued in FL
Legal business name
RESTORE HOPE OF JENSEN BEACH, LLC
Practice address
3300 NE Sugarhill Ave
Jensen Beach, FL 34957-3700
Phone
(772) 444-7388
Fax
(772) 742-2925
NPI assigned
Mar 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Authorized official

Name
Wendy Kahn
Title
Coo
Phone
(772) 742-2925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X 4381356911601 FL Primary

Addresses

Primary practice location

3300 NE Sugarhill Ave
Jensen Beach, FL 34957-3700

Mailing address

3300 NE Sugarhill Ave
Jensen Beach, FL 34957-3700
Phone (772) 444-7388

National Provider Directory

National Provider Directory
Tax ID family
Restore Hope 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.

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": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1104367085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 NE SUGARHILL AVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573700",
            "telephone_number": "772-444-7388",
            "fax_number": "772-742-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NE SUGARHILL AVE",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573700",
            "telephone_number": "772-444-7388",
            "fax_number": "772-742-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE HOPE OF JENSEN BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "KAHN",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "772-742-2925"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "FL",
            "license": "4381356911601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jensen Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.