NPIMap

Organization Active NPI

Seacrest Recovery Center Cincinnati, LLC

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
National Provider Identifier
1427724475
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SEACREST RECOVERY CENTER CINCINNATI, LLC
Practice address
1 Triangle Park Dr Ste 100
Cincinnati, OH 45246-3423
Phone
(561) 990-2620
NPI assigned
Aug 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Jared Pruzan
Title
Owner
Phone
(954) 415-3608

Specialties & licenses 1

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

Addresses

Primary practice location

1 Triangle Park Dr Ste 100
Cincinnati, OH 45246-3423

Mailing address

5300 Atlantic Ave Ste 400
Delray Beach, FL 33484-8141
Phone (954) 415-3608

National Provider Directory

National Provider Directory
Tax ID family
Seacrest Recovery Center Cincinnati LLC2 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

1 Triangle Park Dr
Ste 100
Cincinnati, OH 45246
Phone (561) 990-2620

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1427724475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE STE 400",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848141",
            "telephone_number": "954-415-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRIANGLE PARK DR STE 100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452463423",
            "telephone_number": "561-990-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST RECOVERY CENTER CINCINNATI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "PRUZAN",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-415-3608"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.