NPIMap

Organization Active NPI

Freedom House of Palm Beach Gardens

  • Substance Abuse Rehabilitation Facility
  • Lake Park, FL
National Provider Identifier
1346512795
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
NAP6013335 Issued in FL
Legal business name
FREEDOM HOUSE OF PALM BEACH GARDENS
Practice address
1433 10TH St
Lake Park, FL 33403-2041
Phone
(561) 845-0373
Fax
(561) 845-6830
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Mr. Jack Demarco
Title
Director
Phone
(561) 845-0373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NAP6013335 FL Primary

Addresses

Primary practice location

1433 10TH St
Lake Park, FL 33403-2041

Mailing address

1433 10TH Street
Lake Park, FL 33403
Phone (561) 845-0373

National Provider Directory

National Provider Directory
Tax ID family
Freedom House of Palm Beach Gardens2 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.

Locations

1433 10th St
Lake Park, FL 33403
Phone (561) 845-0373

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1346512795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 10TH STREET",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "33403",
            "telephone_number": "561-845-0373",
            "fax_number": "561-845-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 10TH ST",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032041",
            "telephone_number": "561-845-0373",
            "fax_number": "561-845-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE OF PALM BEACH GARDENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "DEMARCO",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-845-0373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "NAP6013335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.