Ebh Acquisition Subsidiary, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

86988 Issued in FL

Legal business name

EBH ACQUISITION SUBSIDIARY, INC

Doing business as

The Recovery Place

Practice address

3100 E Commercial Blvd
Ft Lauderdale, FL 33308-4327

Phone

(615) 567-7256

NPI assigned

Feb 3, 2016

Organization subpart

Yes

Parent organization

DAVID A SACK MD TN PCAs reported in NPPES

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

Authorized official

Name

Ms. Cheryk Maplesden, CPC, CHC, CHPC

Title

Director, Revenue Cycle

Phone

(615) 510-3708

Specialties & licenses 6

Addresses

Other names 1

• The Recovery Place Doing business as

Tax ID family

Ebh Acquisition Subsidiary5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Bel Canto Detox

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1205215779
  NPD tax ID
• Ebh Acquisition Subsidiary

  dba The Recovery Place

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1427334952
  NPD tax ID
• Ebh Acquisition Subsidiary, Inc

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1669758355
  NPD tax ID
• Ebh Acquisition Sussidiary

  dba The Recovery Place

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
  • NPI 1518243088
  NPD tax ID

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1477911642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670556",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752670556",
            "telephone_number": "615-567-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E COMMERCIAL BLVD",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084327",
            "telephone_number": "615-567-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBH ACQUISITION SUBSIDIARY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID A SACK MD TN PC",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "MAPLESDEN",
        "authorized_official_first_name": "CHERYK",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "615-510-3708",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CHC, CHPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "86988",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME77726",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME96991",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARPN1952242",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9199231",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2857482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Recovery Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Easyhealth Clinic LLC
• Shanique Ebanks
• Robert G Eberhardt III, MD
• Marc Lee Ebersberger Jr., MD
• Ebh Acquisition Subsidiary (The Recovery Place)
• Ebh Acquisition Subsidiary, Inc
• Ebh Acquisition Sussidiary (The Recovery Place)
• Cheryl Lynn Ebmeier, O.D.
• Pamela Leigh Ebmeier, O.D.
• Midayle Echevarria Valle

• Internal Medicine Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.