Beit Hatikvah, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1550AD940701 Issued in FL

Legal business name

BEIT HATIKVAH, LLC

Practice address

3910 Rca Blvd
Suite 1015
Palm Beach Gardens, FL 33410-4284

Phone

(561) 899-4388

Fax

(561) 899-4389

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Gary Michael Williams

Title

Executive Director/Ceo

Phone

(561) 899-4388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1598067829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 RCA BLVD",
            "address_2": "SUITE 1015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104284",
            "telephone_number": "561-899-4388",
            "fax_number": "561-899-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 RCA BLVD",
            "address_2": "SUITE 1015",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104284",
            "telephone_number": "561-899-4388",
            "fax_number": "561-899-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEIT HATIKVAH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "561-899-4388"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD940701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Nov 18, 2010; 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.