NPIMap

Organization Active NPI

Awaken Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Greenacres, FL
National Provider Identifier
1861864944
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
5001 Issued in FL
Legal business name
AWAKEN RECOVERY CENTER
Practice address
6040 Lake Worth Rd
Greenacres, FL 33463-4287
Phone
(800) 868-8772
NPI assigned
Oct 28, 2015
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
Mr. Eyad Abushaban
Title
Ceo
Phone
(800) 868-9287

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5001 FL Primary
Group Psychotherapy Psychologist 103TP2701X NU

Addresses

Primary practice location

6040 Lake Worth Rd
Greenacres, FL 33463-4287

Mailing address

6040 Lake Worth Rd
Greenacres, FL 33463-4287

National Provider Directory

National Provider Directory
Tax ID family
Awaken Recovery Center2 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": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861864944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634287",
            "telephone_number": "800-868-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ABUSHABAN",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-868-9287",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "5001",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, 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.