Active NPI
Father Flanagan'S Boys Town Florida, Inc
- Community/Behavioral Health Agency
- Loxahatchee, FL
National Provider Identifier
1780327403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011708803 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Father Flanagan'S Boys Town Florida Inc
- 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.
-
- Case Management Agency
- West Palm Beach, FL
- NPI 1518960319
-
- Community/Behavioral Health Agency
- West Palm Beach, FL
- NPI 1912247396
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.