Active NPI
Gift of Freedom Recovery Center
- Substance Abuse Rehabilitation Facility
- Port St Lucie, FL
National Provider Identifier
1639734718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GIFT OF FREEDOM RECOVERY CENTER
- Practice address
- 8241 S US Highway 1
Port St Lucie, FL 34952-2848 - Phone
- (772) 971-6417
- Fax
- (888) 293-5884
- NPI assigned
- May 4, 2019
- 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
- Ms. Van Jones, MS, MCAP, EDD
- Title
- Compliance Director
- Phone
- (954) 805-0177
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
8241 S US Highway 1
Port St Lucie, FL 34952-2848
Mailing address
1225 E River Dr
Margate, FL 33063-3635
Phone (772) 971-6417
Other names 1
- Gift of Freedom Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557273600000",
"number": "1639734718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1225 E RIVER DR",
"city": "MARGATE",
"state": "FL",
"postal_code": "330633635",
"telephone_number": "772-971-6417",
"fax_number": "888-293-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8241 S US HIGHWAY 1",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349522848",
"telephone_number": "772-971-6417",
"fax_number": "888-293-5884"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIFT OF FREEDOM RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-04",
"last_updated": "2019-05-08",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "VAN",
"authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
"authorized_official_telephone_number": "954-805-0177",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, MCAP, EDD"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gift of Freedom Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Gift of Freedom Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.