Organization Active NPI

Father Flanagan'S Boys Town Florida, Inc

  • Community/Behavioral Health Agency
  • Loxahatchee, FL
National Provider Identifier
1780327403
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FATHER FLANAGAN'S BOYS TOWN FLORIDA, INC
Practice address
12983 Southern Blvd Ste 100
Loxahatchee, FL 33470-9254
Phone
(561) 612-6049
NPI assigned
Apr 20, 2022
Organization subpart
Yes
Parent organization
FATHER FLANAGAN'S BOYS TOWN FLORIDA, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Alice Hemings
Title
Billing Manager
Phone
(561) 612-6049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12983 Southern Blvd Ste 100
Loxahatchee, FL 33470-9254

Mailing address

1655 Palm Beach Lakes Blvd Ste 300
West Palm Beach, FL 33401-2203
Phone (156) 161-2604

Other identifiers 1

IdentifierTypeStateIssuer
011708803MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Father Flanagan'S Boys Town Florida Inc3 organizations share this tax ID, including this one
Part of
Father Flanagan'S Boys Town Florida Inc

Other organizations with this tax ID 2

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

Locations

12983 Southern Blvd
Ste 100
Loxahatchee, FL 33470
Phone (561) 333-6033

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1780327403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 PALM BEACH LAKES BLVD STE 300",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012203",
            "telephone_number": "156-161-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12983 SOUTHERN BLVD STE 100",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334709254",
            "telephone_number": "561-612-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHER FLANAGAN'S BOYS TOWN FLORIDA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FATHER FLANAGAN'S BOYS TOWN FLORIDA, INC",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "HEMINGS",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "561-612-6049"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011708803",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loxahatchee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.