NPIMap

Organization Active NPI

Recovery Boot Camp, LLC

  • Recovery Care Clinic/Center
  • Delray Beach, FL
National Provider Identifier
1851811004
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
RECOVERY BOOT CAMP, LLC
Practice address
85 SW 5TH Ave
Delray Beach, FL 33444-2511
Phone
(561) 563-8888
Fax
(561) 265-4561
NPI assigned
Jun 20, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Timothy Schnellenberger
Title
Ceo
Phone
(561) 251-2770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X 5001 FL
Recovery Care Clinic/Center 261QR0800X FL Primary

Addresses

Primary practice location

85 SW 5TH Ave
Delray Beach, FL 33444-2511

Mailing address

85 SW 5TH Ave
Delray Beach, FL 33444-2511
Phone (561) 563-8888

Other identifiers 2

IdentifierTypeStateIssuer
1710362272OtherFLSUBSTANCE ABUSE
18214773307OtherFLSUBSTANCE ABUSE

National Provider Directory

National Provider Directory
Tax ID family
Recovery Boot Camp LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

85 SW 5th Ave
Delray Beach, FL 33444
Phone (561) 559-4700

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851811004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SW 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442511",
            "telephone_number": "561-563-8888",
            "fax_number": "561-265-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SW 5TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334442511",
            "telephone_number": "561-563-8888",
            "fax_number": "561-265-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY BOOT CAMP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHNELLENBERGER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-251-2770"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "FL",
            "license": "5001",
            "primary": false
        },
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "1710362272",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE",
            "identifier": "18214773307",
            "state": "FL"
        }
    ],
    "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 21, 2022; 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.