Organization Active NPI

Hallway of Life Recovery Center Inc.

  • Clinical Medical Laboratory
  • Delray Beach, FL
National Provider Identifier
1881907061
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
10D2003348 Issued in FL
Legal business name
HALLWAY OF LIFE RECOVERY CENTER INC.
Practice address
137 S Swinton Ave
Delray Beach, FL 33444-3669
Phone
(561) 908-6277
Fax
(561) 908-6277
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Lacresha Hall, M.D.
Title
Ceo
Phone
(561) 908-6277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 10D2003348 FL Primary

Addresses

Primary practice location

137 S Swinton Ave
Delray Beach, FL 33444-3669

Mailing address

23257 State Road 7
Suite 204
Boca Raton, FL 33428-5448
Phone (561) 908-6277

National Provider Directory

National Provider Directory
Tax ID family
Hallway of Life Recovery Center Inc2 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": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1881907061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23257 STATE ROAD 7",
            "address_2": "SUITE 204",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334285448",
            "telephone_number": "561-908-6277",
            "fax_number": "561-908-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 S SWINTON AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334443669",
            "telephone_number": "561-908-6277",
            "fax_number": "561-908-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLWAY OF LIFE RECOVERY CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-908-6277",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2003348",
            "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 16, 2010; 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.