Organization Active NPI

Recreate Life Counseling Services BH LLC

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
National Provider Identifier
1255054391
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
RECREATE LIFE COUNSELING SERVICES BH LLC
Practice address
205 Gulfstream Blvd
Boynton Beach, FL 33435-8658
Phone
(561) 818-9901
NPI assigned
Sep 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Kara Quinn
Title
Billing Director
Phone
(561) 818-9901

Specialties & licenses 1

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

Addresses

Primary practice location

205 Gulfstream Blvd
Boynton Beach, FL 33435-8658

Mailing address

7050 W Palmetto Park Road Suite 15 #181
Boca Raton, FL 33433
Phone (561) 818-9901

Other practice location 1

3652 S Seacrest Blvd
Boynton Beach, FL 33435-8662
Phone (561) 818-9901

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2179850Recreate Life Counseling Services BH LLC205 Gulfstream Blvd, Boynton Beach, FL 33435Certificate of waiverMar 2, 2028

National Provider Directory

National Provider Directory

Locations

455 NE 5th Ave
Ste D316
Delray Beach, FL 33483

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1255054391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 W PALMETTO PARK ROAD SUITE 15 #181",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-818-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GULFSTREAM BLVD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334358658",
            "telephone_number": "561-818-9901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3652 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334358662",
            "country_code": "US",
            "telephone_number": "561-818-9901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECREATE LIFE COUNSELING SERVICES BH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "QUINN",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "561-818-9901"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.