Active NPI
Recovery Boot Camp, LLC
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
National Provider Identifier
1821473307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- RECOVERY BOOT CAMP, LLC
- Practice address
- 85 SW 5TH Ave
Suite 101
Delray Beach, FL 33444-2511 - Phone
- (561) 563-8888
- NPI assigned
- Jul 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Schnellenberger
- Title
- Owner
- Phone
- (561) 251-2770
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | FL | Primary |
Addresses
Primary practice location
85 SW 5TH Ave
Suite 101
Delray Beach, FL 33444-2511
Mailing address
85 SW 5TH Ave
Suite 101
Delray Beach, FL 33444-2511
National Provider Directory
National Provider Directory- Tax ID family
- Recovery Boot Camp LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Delray Beach, FL
- NPI 1710362272
-
- Recovery Care Clinic/Center
- Delray Beach, FL
- NPI 1851811004
Locations
85 SW 5th Ave
Ste 101
Delray Beach, FL 33444
Phone (561) 563-8888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499385600000",
"number": "1821473307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 SW 5TH AVE",
"address_2": "SUITE 101",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334442511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SW 5TH AVE",
"address_2": "SUITE 101",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334442511",
"telephone_number": "561-563-8888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVERY BOOT CAMP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-24",
"last_updated": "2017-07-07",
"status": "A",
"authorized_official_last_name": "SCHNELLENBERGER",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-251-2770"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.