NPIMap

Organization Active NPI

Boca Detox Center LLC

  • Substance Abuse Rehabilitation Facility
  • Boca Raton, FL
National Provider Identifier
1609267384
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BOCA DETOX CENTER LLC
Practice address
899 Meadows Rd Ste 100
Boca Raton, FL 33486-2338
Phone
(561) 271-5199
Fax
(561) 274-6838
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Mr. Isaiah Goldman, CFO
Title
Owner
Phone
(561) 271-5199

Specialties & licenses 1

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

Addresses

Primary practice location

899 Meadows Rd Ste 100
Boca Raton, FL 33486-2338

Mailing address

899 Meadows Rd Ste 100
Boca Raton, FL 33486-2338
Phone (561) 271-5199

National Provider Directory

National Provider Directory
Tax ID family
Boca Detox Center LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1609267384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 MEADOWS RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862338",
            "telephone_number": "561-271-5199",
            "fax_number": "561-274-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 MEADOWS RD STE 100",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862338",
            "telephone_number": "561-271-5199",
            "fax_number": "561-274-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOCA DETOX CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-271-5199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.