Intrepid Holistic Health Services LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

INTREPID HOLISTIC HEALTH SERVICES LLC

Practice address

318 S Dixie Hwy Ste 4
Lake Worth, FL 33460-4452

Phone

(561) 782-6663

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

John Nash Pakel

Title

Ceo

Phone

(561) 782-6663

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1629793393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 10TH AVE N STE 420",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334613369",
            "telephone_number": "516-512-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 S DIXIE HWY STE 4",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334604452",
            "telephone_number": "561-782-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTREPID HOLISTIC HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "PAKEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NASH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-782-6663"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Lake Worth, FL
• Providers in Lake Worth, 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 May 2, 2023; 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.

Verify at the official NPI Registry.