Organization Active NPI

Pride Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1700249604
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PRIDE RECOVERY CENTER LLC
Practice address
2206 W Atlantic Ave. Suite 203
Delray Beach, FL 33445
Phone
(561) 289-8073
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Peter Merkle
Title
Ceo
Phone
(954) 783-7100

Specialties & licenses 1

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

Addresses

Primary practice location

2206 W Atlantic Ave. Suite 203
Delray Beach, FL 33445

Mailing address

1101 E Sample Road
Pompano, FL 33064
Phone (561) 704-6781

National Provider Directory

National Provider Directory

Locations

2206 W Atlantic Ave
Ste 203
Delray Beach, FL 33445
Phone (561) 289-8073

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1700249604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SAMPLE ROAD",
            "city": "POMPANO",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "561-704-6781",
            "fax_number": "561-562-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 W ATLANTIC AVE. SUITE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "33445",
            "telephone_number": "561-289-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "MERKLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-783-7100",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.