NPIMap

Organization Active NPI

Artesian Wellness & Recovery Centers LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Stuart, FL
National Provider Identifier
1669820635
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
ARTESIAN WELLNESS & RECOVERY CENTERS LLC
Practice address
2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600
Phone
(772) 320-1557
NPI assigned
May 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Nicola Rajaram
Title
Billing Manager
Phone
(954) 272-6723

Specialties & licenses 1

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

Addresses

Primary practice location

2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600

Mailing address

2500 S Kanner Hwy
Suite 2
Stuart, FL 34994-4600

National Provider Directory

National Provider Directory
Tax ID family
Artesian Wellness and Recovery Centers LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1464652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1669820635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S KANNER HWY",
            "address_2": "SUITE 2",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349944600",
            "telephone_number": "772-320-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTESIAN WELLNESS & RECOVERY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "RAJARAM",
        "authorized_official_first_name": "NICOLA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "954-272-6723"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.