NPIMap

Organization Active NPI

Northlake Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Palm Beach Gardens, FL
National Provider Identifier
1528680998
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
NORTHLAKE RECOVERY, LLC
Practice address
8841 Lyndall LN
Palm Beach Gardens, FL 33403-1639
Phone
(561) 619-8777
NPI assigned
May 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Anthony Camaerei, MBA
Title
Coo
Phone
(570) 242-1768

Specialties & licenses 1

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

Addresses

Primary practice location

8841 Lyndall LN
Palm Beach Gardens, FL 33403-1639

Mailing address

327 W Lantana Rd
Lantana, FL 33462-1773

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1528680998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W LANTANA RD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334621773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 LYNDALL LN",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334031639",
            "telephone_number": "561-619-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "CAMAEREI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "570-242-1768",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.