Organization Active NPI

Greenway Recovery LLC

Doing business as Anchor Bay Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lantana, FL
National Provider Identifier
1619356912
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1550AD019301 Issued in FL
Legal business name
GREENWAY RECOVERY LLC
Doing business as
Anchor Bay Recovery
Practice address
230 E Ocean Ave
228 East Ocean Ave
Lantana, FL 33462-3236
Phone
(561) 469-6472
NPI assigned
May 20, 2015
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mandi Duggan, LMHC, LMFT ,NCC, ACS
Title
Owner
Phone
(561) 413-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1550AD019301 FL Primary

Addresses

Primary practice location

230 E Ocean Ave
228 East Ocean Ave
Lantana, FL 33462-3236

Mailing address

230 E Ocean Ave
228 East Ocean Avenue
Lantana, FL 33462-3236
Phone (561) 577-1990

Other names 1

  • ANCHOR BAY RECOVERY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Anchor Bay Recovery2 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.

Locations

228 E Ocean Ave
Lantana, FL 33462
Phone (561) 469-6472

NPI Registry JSON

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1619356912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OCEAN AVE",
            "address_2": "228 EAST OCEAN AVENUE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623236",
            "telephone_number": "561-577-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OCEAN AVE",
            "address_2": "228 EAST OCEAN AVE",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334623236",
            "telephone_number": "561-469-6472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "MANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-413-9860",
        "authorized_official_credential": "LMHC, LMFT ,NCC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1550AD019301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANCHOR BAY RECOVERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lantana, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.