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)
- Title
- Coo
- Phone
- (561) 331-8453
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2090223 | I Kare Treatment Center LLC | Certificate of waiver | Jan 15, 2027 |
National Provider Directory
- Tax ID family
- I-Kare Health and Wellness
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Amanda Hernandez
- Lauren Herrera
- Shana Nakia Hill Carroll
- Nicole Monique Hinton
- Eshita Hoque
- Bianca Iglesias
- Interventional Rehabilitation of South Florida, Inc
- Intrepid Detox Residential LLC
- Jose Alberto Irizarry Santiago
- Tiffany Jarrett
All providers in Mangonia Park, FL · Substance Use Disorder Rehabilitation Clinic/Center in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.