NPIMap

Organization Active NPI

Angels Recovery Detox

  • Substance Abuse Rehabilitation Facility
  • Wellington, FL
National Provider Identifier
1508100900
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1550AD608201 Issued in FL
Legal business name
ANGELS RECOVERY DETOX
Practice address
11576 Pierson Rd
Suite K4
Wellington, FL 33414-8767
Phone
(954) 746-8232
Fax
(954) 746-8981
NPI assigned
Nov 26, 2012
Last updated
May 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Mrs. Neisha Zaffuto
Title
Business Manager
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1550AD608201 FL Primary

Addresses

Primary practice location

11576 Pierson Rd
Suite K4
Wellington, FL 33414-8767

Mailing address

11576 Pierson Rd
Suite K4
Wellington, FL 33414-8767
Phone (954) 746-8232

National Provider Directory

National Provider Directory
Tax ID family
Angels Recovery Detox2 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

11576 Pierson Rd
Ste K4
Wellington, FL 33414
Phone (561) 721-4142

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1508100900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11576 PIERSON RD",
            "address_2": "SUITE K4",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148767",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11576 PIERSON RD",
            "address_2": "SUITE K4",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334148767",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS RECOVERY DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "ZAFFUTO",
        "authorized_official_first_name": "NEISHA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "954-746-8232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD608201",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 21, 2013; 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.