Ambrosia of the Palm Beaches

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

AMBROSIA OF THE PALM BEACHES

Practice address

2626 Lake Dr
Singer Island, FL 33404-3846

Phone

(215) 850-5553

Fax

(772) 323-2106

NPI assigned

Nov 19, 2008

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reesa McKenzie

Title

Cfo

Phone

(561) 545-1083

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Ambrosia of the Palm Beaches2 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.

• Ambrosia Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Singer Island, FL
  • NPI 1942742994
  NPD tax ID

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376798215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 LAKE DR",
            "city": "SINGER ISLAND",
            "state": "FL",
            "postal_code": "334043846",
            "telephone_number": "215-850-5553",
            "fax_number": "772-323-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 LAKE DR",
            "city": "SINGER ISLAND",
            "state": "FL",
            "postal_code": "334043846",
            "telephone_number": "215-850-5553",
            "fax_number": "772-323-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA OF THE PALM BEACHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "REESA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-545-1083"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrosia Treatment Center
• Americare Medical Transport LLC
• Anesthesia Providers Inc
• Harbor House Enterprises LLC
• Harbor House Enterprises, LLC

• Substance Abuse Rehabilitation Facility in Singer Island, FL
• Providers in Singer Island, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.