NPIMap

Organization Active NPI

Palm Beach Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1477092872
Registry record updated Feb 17, 2017
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
1017 N Olive Ave
West Palm Beach, FL 33401-3511
Phone
(561) 833-7553
NPI assigned
Feb 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Authorized official

Name
Nicola Rajaram
Title
Billing Manager
Phone
(954) 272-6612

Specialties & licenses 1

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

Addresses

Primary practice location

1017 N Olive Ave
West Palm Beach, FL 33401-3511

Mailing address

PO Box 714595
Cincinnati, OH 45271-4595

Other names 1

  • The Palm Beach Institute 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.

Locations

1017 N Olive Ave
West Palm Beach, FL 33401
Phone (561) 222-1719

NPI Registry JSON

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

{
    "created_epoch": "1487289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1477092872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714595",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452714595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 N OLIVE AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013511",
            "telephone_number": "561-833-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-17",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-272-6612"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Palm Beach Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; 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.