Organization Active NPI

Palm Beach Elite, Inc

  • Substance Abuse Rehabilitation Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1164839338
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1550AD555201 Issued in FL
Legal business name
PALM BEACH ELITE, INC
Practice address
3385 Burns Rd
Suite 200
Palm Beach Gardens, FL 33410-4328
Phone
(561) 324-2140
Fax
(888) 510-9071
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Ms. Sandi Barnes
Title
Ceo
Phone
(561) 324-2140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1550AD555201 FL Primary

Addresses

Primary practice location

3385 Burns Rd
Suite 200
Palm Beach Gardens, FL 33410-4328

Mailing address

3332 Meridian Way N
Palm Beach Gardens, FL 33410-5043
Phone (561) 324-2140

Other identifiers 1

IdentifierTypeStateIssuer
1550AD555201OtherFLDCF STATE LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1164839338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 MERIDIAN WAY N",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105043",
            "telephone_number": "561-324-2140",
            "fax_number": "888-510-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 BURNS RD",
            "address_2": "SUITE 200",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104328",
            "telephone_number": "561-324-2140",
            "fax_number": "888-510-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH ELITE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-324-2140",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD555201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DCF STATE LICENSE",
            "identifier": "1550AD555201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.