Organization Active NPI

Ocean Recovery

  • Mental Illness Community Based Residential Treatment Facility
  • Boynton Beach, FL
National Provider Identifier
1295155059
Registry record updated Apr 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
10D2074910 Issued in FL
Legal business name
OCEAN RECOVERY
Practice address
115 W Woolbright Rd Ste a
Boynton Beach, FL 33435-5908
Phone
(561) 929-6900
Fax
(888) 510-9071
NPI assigned
Apr 21, 2014
Last updated
Apr 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2014

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

Authorized official

Name
Mr. David Mitchell
Title
Ceo
Phone
(561) 929-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 10D2074910 FL Primary

Addresses

Primary practice location

115 W Woolbright Rd Ste a
Boynton Beach, FL 33435-5908

Mailing address

115 W Woolbright Rd Ste a
Boynton Beach, FL 33435-5908
Phone (561) 929-6900

Other identifiers 1

IdentifierTypeStateIssuer
10D2074910OtherFLCLIA

National Provider Directory

National Provider Directory

Locations

115 W Woolbright Rd
Ste A
Boynton Beach, FL 33435
Phone (561) 703-0976

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1295155059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W WOOLBRIGHT RD STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355908",
            "telephone_number": "561-929-6900",
            "fax_number": "888-510-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W WOOLBRIGHT RD STE A",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355908",
            "telephone_number": "561-929-6900",
            "fax_number": "888-510-9071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-929-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "FL",
            "license": "10D2074910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2074910",
            "state": "FL"
        }
    ],
    "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 Apr 21, 2014; 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.