Epiphany Resources LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

5001 Issued in FL

Legal business name

EPIPHANY RESOURCES LLC

Practice address

16110 Jog Rd Ste 200
Delray Beach, FL 33446-2350

Phone

(561) 265-5549

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Micheal Nussbaum

Title

Ceo

Phone

(561) 777-2024

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154790806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16110 JOG RD STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462350",
            "telephone_number": "561-265-5549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16110 JOG RD STE 200",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462350",
            "telephone_number": "561-265-5549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NUSSBAUM",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-777-2024"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellyn Enisman, LCSW
• Lawrence Jacob Enisman, M.D.
• Joi Ennis, DOULA
• Enrique Lopez-Moscoso, M.D., P.a.
• Jennifer Enriquez
• Eric B Epstein, DDS
• Ergo Concepts Inc
• Eric Heller MD PA
• Eric J. Rothchild
• Erich E. Menge, DC,PA

• 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 Jul 21, 2022; 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.