NPIMap

Organization Active NPI

Beachcomber Rehabilitation, Inc.

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
National Provider Identifier
1669691291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
0950AD779802 Issued in FL
Legal business name
BEACHCOMBER REHABILITATION, INC.
Practice address
4493 N Ocean Blvd
Delray Beach, FL 33483-7522
Phone
(561) 734-1818
Fax
(561) 265-1349
NPI assigned
Apr 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph R. Bryan
Title
Ceo
Phone
(561) 734-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 0950AD779802 FL Primary

Addresses

Primary practice location

4493 N Ocean Blvd
Delray Beach, FL 33483-7522

Mailing address

4493 N Ocean Blvd
Delray Beach, FL 33483-7522
Phone (561) 734-1818

National Provider Directory

National Provider Directory
Tax ID family
Beachcomber Outpatient Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 W Woolbright Rd
Bldg 2
Boynton Beach, FL 33435
Phone (561) 375-9660

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669691291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4493 N OCEAN BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837522",
            "telephone_number": "561-734-1818",
            "fax_number": "561-265-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4493 N OCEAN BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334837522",
            "telephone_number": "561-734-1818",
            "fax_number": "561-265-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHCOMBER REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-734-1818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0950AD779802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.