The Taj Memorial Health Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1550AD590201 Issued in FL

Legal business name

THE TAJ MEMORIAL HEALTH CENTER

Doing business as

The Treatment Center of the Palm Beaches

Practice address

4905 Lantana Rd
Lake Worth, FL 33463-6915

Phone

(561) 253-6790

Fax

(561) 228-0659

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Bill Russell

Title

Ceo

Phone

(954) 587-7771

Specialties & licenses 1

Addresses

Other names 1

• The Treatment Center of the Palm Beaches Doing business as

Tax ID family

The Treatment Center of the Palm Beaches4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• The Treatment Center of the Palm Beaches

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1134419195
  NPD tax ID
• The Treatment Center of the Palm Beaches

  • Substance Abuse Rehabilitation Facility
  • Lake Worth, FL
  • NPI 1912145525
  NPD tax ID
• The Treatment Center of the Palm Beaches, LLC.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlantis, FL
  • NPI 1376957019
  NPD tax ID

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1295031227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541119",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334541119",
            "telephone_number": "561-253-6790",
            "fax_number": "561-228-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LANTANA RD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334636915",
            "telephone_number": "561-253-6790",
            "fax_number": "561-228-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TAJ MEMORIAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-587-7771"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD590201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Treatment Center of the Palm Beaches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Extraordinary Kids Foundation, Inc (Qlh Kids)
• The Helping Hands Agency, LLC
• The Last Stop, LLC
• The Orchid, LLC
• The Recovery Dietitian LLC
• The Treatment Center by the Recovery Village, LLC (The Recovery Village Miami at Baptist Health)
• The Treatment Center of the Palm Beaches
• The Treatment Center of the Palm Beaches
• The Way II
• The Wizard of Eyes of S FL Inc

• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.