NPIMap

Organization Active NPI

Palm Beach Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Altoona, FL
National Provider Identifier
1366096463
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PALM BEACH RECOVERY LLC
Practice address
18307 Boys Ranch Rd
Altoona, FL 32702-9093
Phone
(954) 487-1224
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Michael Borkowski
Title
Ceo
Phone
(954) 487-1224

Specialties & licenses 1

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

Addresses

Primary practice location

18307 Boys Ranch Rd
Altoona, FL 32702-9093

Mailing address

PO Box 715079
Cincinnati, OH 45271-5079

Other practice location 1

18121 Boys Ranch Rd
Altoona, FL 32702-9090
Phone (954) 487-1224

Other names 1

  • Harmony Hills Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Recovery LLC4 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.

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1366096463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715079",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452715079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18307 BOYS RANCH RD",
            "city": "ALTOONA",
            "state": "FL",
            "postal_code": "327029093",
            "telephone_number": "954-487-1224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18121 Boys Ranch Rd",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "FL",
            "postal_code": "327029090",
            "country_code": "US",
            "telephone_number": "954-487-1224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PALM BEACH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-487-1224"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmony Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altoona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.