Seacrest Recovery, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

5001 Issued in FL

Legal business name

SEACREST RECOVERY, LLC

Practice address

638 E Ocean Ave
Boynton Beach, FL 33435-5005

Phone

(561) 990-2620

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Josh Fenster

Title

Ceo/Owner

Phone

(561) 990-2620

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1740659200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 ATLANTIC AVE STE 400",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848141",
            "telephone_number": "561-990-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 E OCEAN AVE",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355005",
            "telephone_number": "561-990-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEACREST RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "FENSTER",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "561-990-2620",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "504736452701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dana Scot Sealander, DNP, CRNA

• Substance Abuse Rehabilitation Facility in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.