Organization Active NPI

Chance to Live, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1487030219
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CHANCE TO LIVE, LLC
Practice address
1700 Old Okeechobee Rd
West Palm Beach, FL 33409-5229
Phone
(561) 283-1118
NPI assigned
Aug 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Bradley Stockdale
Title
Ceo
Phone
(561) 283-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

1700 Old Okeechobee Rd
West Palm Beach, FL 33409-5229

Mailing address

1700 Old Okeechobee Rd
West Palm Beach, FL 33409-5229
Phone (561) 283-1118

National Provider Directory

National Provider Directory
Tax ID family
Chance to Live 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

1700 Okeechobee Rd
West Palm Beach, FL 33409
Phone (561) 283-1118

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1487030219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 OLD OKEECHOBEE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095229",
            "telephone_number": "561-283-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 OLD OKEECHOBEE RD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334095229",
            "telephone_number": "561-283-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANCE TO LIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "STOCKDALE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-283-1118"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2015; 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.