Organization Active NPI

Et Health Holdings

Doing business as Prevail Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Oakland Park, FL
National Provider Identifier
1790360725
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ET HEALTH HOLDINGS
Doing business as
Prevail Recovery Center
Practice address
3223 NW 10TH Ter Ste 607
Oakland Park, FL 33309-5940
Phone
(516) 474-0777
NPI assigned
Mar 11, 2021
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Scott Hastings
Title
Ceo
Phone
(469) 693-8277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3223 NW 10TH Ter Ste 607
Oakland Park, FL 33309-5940

Mailing address

3223 NW 10TH Ter Ste 607
Oakland Park, FL 33309-5940

Other names 1

  • Prevail Recovery Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1790360725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 NW 10TH TER STE 607",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 NW 10TH TER STE 607",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095940",
            "telephone_number": "516-474-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ET HEALTH HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "HASTINGS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-693-8277"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevail Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prevail Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.