Ambrosia Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

5002 Issued in FL

Legal business name

AMBROSIA TREATMENT CENTER

Practice address

2675 Lake Drive
Singer Island, FL 33404

Phone

(772) 323-2099

NPI assigned

Nov 8, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reesa McKenzie

Title

Cfo

Phone

(561) 545-1083

Specialties & licenses 1

Addresses

Tax ID family

Ambrosia of the Palm Beaches2 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.

• Ambrosia of the Palm Beaches

  • Substance Abuse Rehabilitation Facility
  • Singer Island, FL
  • NPI 1376798215
  NPD tax ID

Locations

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942742994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HOOD RD STE 101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 LAKE DRIVE",
            "city": "SINGER ISLAND",
            "state": "FL",
            "postal_code": "33404",
            "telephone_number": "772-323-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "REESA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-545-1083"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "5002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ambrosia of the Palm Beaches
• Americare Medical Transport LLC
• Anesthesia Providers Inc
• Harbor House Enterprises LLC
• Harbor House Enterprises, LLC
• Harp Palm Beach, LLC

• Substance Abuse Rehabilitation Facility in Singer Island, FL
• Providers in Singer Island, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• 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.