Active NPI
Campus Recovery LLC
- Substance Abuse Rehabilitation Facility
- Lake Worth, FL
National Provider Identifier
1568986958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- CAMPUS RECOVERY LLC
- Practice address
- 19 S Dixie Hwy
Lake Worth, FL 33460-3727 - Phone
- (347) 423-1001
- NPI assigned
- Jul 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ian Charles Gropper
- Title
- Cfo
- Phone
- (561) 251-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
19 S Dixie Hwy
Lake Worth, FL 33460-3727
Mailing address
19 S Dixie Hwy
Lake Worth, FL 33460-3727
Phone (877) 995-0102
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2139606 | Campus Recovery LLC | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501200000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785110400000",
"number": "1568986958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 S DIXIE HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603727",
"telephone_number": "877-995-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 S DIXIE HWY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334603727",
"telephone_number": "347-423-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMPUS RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-28",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A",
"authorized_official_last_name": "GROPPER",
"authorized_official_first_name": "IAN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "561-251-8700"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Worth, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.