NPIMap

Organization Active NPI

GMH Tequesta Holdings LLC

Doing business as Futures of Palm Beach

  • Substance Abuse Rehabilitation Facility
  • Tequesta, FL
National Provider Identifier
1861753717
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1550AD088301 Issued in FL
Legal business name
GMH TEQUESTA HOLDINGS LLC
Doing business as
Futures of Palm Beach
Practice address
701 Old Dixie Highway
Tequesta, FL 33469
Phone
(561) 935-5795
Fax
(561) 203-2913
NPI assigned
Jun 6, 2012
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Dr. Deja Gilbert, PHD, LMHC, LPC
Title
Coo
Phone
(561) 631-9087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X 1550AD088301 FL Primary

Addresses

Primary practice location

701 Old Dixie Highway
Tequesta, FL 33469

Mailing address

PO Box 742994
Atlanta, GA 30374-2994
Phone (561) 935-5795

Other names 1

  • Futures of Palm Beach Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Futures of Palm Beach2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1861753717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742994",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742994",
            "telephone_number": "561-935-5795",
            "fax_number": "561-203-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 OLD DIXIE HIGHWAY",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "33469",
            "telephone_number": "561-935-5795",
            "fax_number": "561-203-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMH TEQUESTA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "DEJA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-631-9087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC, LPC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD088301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Futures of Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Futures of Palm Beach",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tequesta, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.