Reco Intensive, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RECO INTENSIVE, LLC

Practice address

1200 NW 17TH Ave
Suite # 14
Delray Beach, FL 33445-2503

Phone

(561) 808-7986

NPI assigned

Sep 29, 2014

Organization subpart

No

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

Authorized official

Name

David Niknafs

Title

Owner, Ceo

Phone

(678) 207-9575

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1801299334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 RENAISSANCE COMMONS BLVD APT 537",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268289",
            "telephone_number": "561-808-7986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW 17TH AVE",
            "address_2": "SUITE # 14",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452503",
            "telephone_number": "561-808-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECO INTENSIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "NIKNAFS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "678-207-9575"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Ignatius Rebello, M.D.
• Vernon Rebello, M.D.
• John Receveur, M.D.
• Reco Intensive Op LLC
• Reco Intensive Op, LLC
• Recovery Boot Camp, LLC
• Recovery Boot Camp, LLC
• Recovery Boot Camp, LLC
• Recreate Behavioral Health of Maine, LLC
• Redemption Sober House, LLC

• Substance Use Disorder Rehabilitation Clinic/Center in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.