NPIMap

Organization Active NPI

Rockin Recovery Life Skills, LLC

  • Recovery Care Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1225494529
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
ROCKIN RECOVERY LIFE SKILLS, LLC
Practice address
265 NE 5TH Ave
Delray Beach, FL 33483-5530
Phone
(561) 255-3573
Fax
(561) 808-7394
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary
Substance Abuse Rehabilitation Facility 324500000X 1550AD185301 FL

Addresses

Primary practice location

265 NE 5TH Ave
Delray Beach, FL 33483-5530

Mailing address

PO Box 6542
Delray Beach, FL 33482-6542
Phone (561) 255-3573

National Provider Directory

National Provider Directory
Tax ID family
Rockin Recovery Life Skills LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1225494529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6542",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334826542",
            "telephone_number": "561-255-3573",
            "fax_number": "561-808-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 NE 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835530",
            "telephone_number": "561-255-3573",
            "fax_number": "561-808-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKIN RECOVERY LIFE SKILLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD185301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.