Organization Active NPI

Epiphany's Treatment Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1174905426
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
EPIPHANY'S TREATMENT CENTER LLC
Practice address
2247 Palm Beach Lakes Blvd Ste 108
West Palm Beach, FL 33409-3408
Phone
(561) 722-9620
NPI assigned
Jun 23, 2015
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Mr. Robert Simeone
Title
Ceo
Phone
(561) 722-9620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

2247 Palm Beach Lakes Blvd Ste 108
West Palm Beach, FL 33409-3408

Mailing address

2247 Palm Beach Lakes Blvd , Suite 108
West Palm Beach, FL 33409-2706
Phone (561) 722-9620

National Provider Directory

National Provider Directory

Locations

2247 Palm Beach Lakes Blvd
Ste 108
West Palm Beach, FL 33409
Phone (561) 687-1304

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1174905426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD , SUITE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092706",
            "telephone_number": "561-722-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2247 PALM BEACH LAKES BLVD STE 108",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093408",
            "telephone_number": "561-722-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY'S TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "SIMEONE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-722-9620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.