Organization Active NPI

Gift of Freedom Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
National Provider Identifier
1639734718
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
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

Updated by the provider on May 8, 2019

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.