Organization Active NPI

Path to Purpose Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Pompano Beach, FL
National Provider Identifier
1407783848
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PATH TO PURPOSE RECOVERY, LLC
Practice address
555 SW 12TH Ave Ste 120
Pompano Beach, FL 33069-3595
Phone
(954) 263-1514
NPI assigned
May 7, 2026
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ms. Holly Tillman
Title
Chief Executive Officer
Phone
(954) 214-0051

Specialties & licenses 1

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

Addresses

Primary practice location

555 SW 12TH Ave Ste 120
Pompano Beach, FL 33069-3595

Mailing address

555 SW 12TH Ave Ste 120
Pompano Beach, FL 33069-3595
Phone (954) 263-1514

National Provider Directory

National Provider Directory

Locations

555 SW 12th Ave
Ste 120
Pompano Beach, FL 33069
Phone (954) 263-1514

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1407783848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SW 12TH AVE STE 120",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693595",
            "telephone_number": "954-263-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SW 12TH AVE STE 120",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330693595",
            "telephone_number": "954-263-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATH TO PURPOSE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "954-214-0051",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; 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.