Desert Rose FL LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DESERT ROSE FL LLC

Doing business as

Desert Rose

Practice address

357 Hiatt Dr
Palm Beach Gardens, FL 33418-8222

Phone

(561) 422-4946

Fax

(561) 600-9068

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Peter Hamilton

Title

Ceo

Phone

(305) 587-7017

Specialties & licenses 1

Addresses

Other names 1

• Desert Rose Doing business as

Tax ID family

Desert Rose FL LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Desert Rose FL LLC

  • Addiction Medicine (Internal Medicine) Physician
  • West Palm Beach, FL
  • NPI 1184043119
  NPD tax ID
• Desert Rose FL LLC

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1952760944
  NPD tax ID

Locations

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1558775593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 HIATT DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188222",
            "telephone_number": "561-422-4946",
            "fax_number": "561-600-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 HIATT DR",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188222",
            "telephone_number": "561-422-4946",
            "fax_number": "561-600-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-587-7017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Rose",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Desert Rose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keri Depatis, PHARMD
• Paige Elizabeth Deprefontaine
• Nicholas J Deprima, PSY.D.
• Anna Derevyanko
• Melissa Derry, BA
• Daniel Deshommes, DPT
• Karishma Deshpande, PHARMD, RPH
• Miriam Mercius Desir
• Lorraine Yvonne Desravines, CRNA
• Janay Myisha Desrosier

• Substance Abuse Rehabilitation Facility in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.