NPIMap

Organization Active NPI

Palm Beach Drug Testing, LLC.

Doing business as Relax Health Care

  • Methadone Clinic
  • West Palm Beach, FL
National Provider Identifier
1700396090
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
PALM BEACH DRUG TESTING, LLC.
Doing business as
Relax Health Care
Relax Mental Health Care
Practice address
2809 Poinsettia Ave Ste H
West Palm Beach, FL 33407-5426
Phone
(561) 469-9934
NPI assigned
Oct 2, 2017
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Keren M Roesser, CAP SAP CRC CRRANPI 1164773032
Title
Ceo MNG MBR Partner
Phone
(561) 398-8336

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary

Addresses

Primary practice location

2809 Poinsettia Ave Ste H
West Palm Beach, FL 33407-5426

Mailing address

2809 Poinsettia Ave
West Palm Beach, FL 33407-5426
Phone (561) 469-9934

Other names 2

  • Relax Health Care Doing business as
  • Relax Mental Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Beach Drug Testing LLC5 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

2809 Poinsettia Ave
West Palm Beach, FL 33407
Phone (561) 469-9934

Practitioners & affiliated clinicians

Practitioners 1

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1700396090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934",
            "fax_number": "888-972-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 POINSETTIA AVE STE H",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334075426",
            "telephone_number": "561-469-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH DRUG TESTING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "ROESSER",
        "authorized_official_first_name": "KEREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO MNG MBR PARTNER",
        "authorized_official_telephone_number": "561-398-8336",
        "authorized_official_credential": "CAP SAP CRC CRRA"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relax Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relax Mental Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.