Organization Active NPI

Square One Recovery LLC

  • Substance Abuse Rehabilitation Facility
  • Wellington, FL
National Provider Identifier
1487101622
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SQUARE ONE RECOVERY LLC
Practice address
11576 Pierson Rd
Wellington, FL 33414-8767
Phone
(561) 512-9273
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Mrs. Darlene Frisina, BS,CAC
Title
Ceo
Phone
(561) 512-9273

Specialties & licenses 1

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

Addresses

Primary practice location

11576 Pierson Rd
Wellington, FL 33414-8767

Mailing address

11576 Pierson Rd
Wellington, FL 33414-8767
Phone (561) 512-9273

Other identifiers 1

IdentifierTypeStateIssuer
1184849093OtherFLSUBSTANCE ABUSE TREATMENT CENTER

National Provider Directory

National Provider Directory
Tax ID family
Square One Recovery 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.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1487101622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 PIERSON RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148767",
            "telephone_number": "561-512-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 PIERSON RD",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148767",
            "telephone_number": "561-512-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "FRISINA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-512-9273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,CAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE TREATMENT CENTER",
            "identifier": "1184849093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

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