Organization Active NPI

Wellington Way Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Wellington, FL
National Provider Identifier
1346551967
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
WELLINGTON WAY RECOVERY CENTER, LLC
Practice address
12794 W Forest Hill Blvd
Suite 18F
Wellington, FL 33414-4710
Phone
(561) 296-7765
Fax
(561) 795-1629
NPI assigned
Jun 29, 2010
Last updated
Jun 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Authorized official

Name
Ms. Michelle Woodside
Title
Ceo
Phone
(954) 746-8232

Specialties & licenses 1

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

Addresses

Primary practice location

12794 W Forest Hill Blvd
Suite 18F
Wellington, FL 33414-4710

Mailing address

12794 W Forest Hill Blvd
Suite 18F
Wellington, FL 33414-4710
Phone (561) 296-7765

National Provider Directory

National Provider Directory

Locations

12794 Forest Hill Blvd
Ste 18F
Wellington, FL 33414
Phone (561) 296-7765

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1346551967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12794 W FOREST HILL BLVD",
            "address_2": "SUITE 18F",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-296-7765",
            "fax_number": "561-795-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 W FOREST HILL BLVD",
            "address_2": "SUITE 18F",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-296-7765",
            "fax_number": "561-795-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLINGTON WAY RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "WOODSIDE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-746-8232",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.