Organization Active NPI

Seppala Corp

Doing business as Grass Roots Treatment Center

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1285024067
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
TBD Issued in FL
Legal business name
SEPPALA CORP
Doing business as
Grass Roots Treatment Center
Practice address
2200 Florida Mango Rd Ste 100
West Palm Beach, FL 33409-6448
Phone
(561) 313-4562
NPI assigned
Jan 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
CHI M Seppala
Title
Owner
Phone
(561) 313-4562

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Florida Mango Rd Ste 100
West Palm Beach, FL 33409-6448

Mailing address

2200 Florida Mango Rd Ste 100
West Palm Beach, FL 33409-6448

Other names 1

  • Grass Roots Treatment Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grass Roots Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1285024067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FLORIDA MANGO RD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FLORIDA MANGO RD STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096448",
            "telephone_number": "561-313-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEPPALA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SEPPALA",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-313-4562"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grass Roots Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 19, 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.