I-Kare Treatment Center, LLC

Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Mangonia Park, FL

NPI 1790188902 · NPPES record last updated Sep 12, 2022

Key facts

NPI
1790188902
Entity type
Organization (NPI type 2)
Primary specialty
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Legal business name
I-KARE TREATMENT CENTER, LLC
Practice address
1720 E Tiffany Dr Ste 101
Mangonia Park, FL 33407-3235
Phone
(561) 331-8453
Fax
(954) 208-0462
NPI assigned
Oct 1, 2014
Organization subpart
No

Authorized official

Name
Nichole Gary, NCRC, NCCM, B.S(PSY) NPI 1932516952
Title
Coo
Phone
(561) 331-8453

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Corporate family (same tax ID) 1

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2090223I Kare Treatment Center LLC
1720 E Tiffany Drive Suite 101, Mangonia Park, FL 33407
Certificate of waiverJan 15, 2027

National Provider Directory

Tax ID family
I-Kare Health and Wellness (2 organizations share this tax ID)

Locations

1720 E Tiffany Dr
Ste 101
Mangonia Park, FL 33407
Phone (561) 331-8453

2200 N Florida Mango Rd
Ste 301
West Palm Beach, FL 33409

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Yes

Addresses

Primary practice location

1720 E Tiffany Dr Ste 101
Mangonia Park, FL 33407-3235

Mailing address

1720 E Tiffany Dr Ste 101
Mangonia Park, FL 33407-3235
Phone (561) 331-8453

Other providers in Mangonia Park, FL

All providers in Mangonia Park, FL · Substance Use Disorder Rehabilitation Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.