NPIMap

Organization Active NPI

Elevation Recovery Inc

  • Recovery Care Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1972969277
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
ELEVATION RECOVERY INC
Practice address
1509 N Military TRL Ste 100
West Palm Beach, FL 33409-4765
Phone
(561) 683-9270
Fax
(561) 683-9279
NPI assigned
Jan 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X Primary
Substance Abuse Rehabilitation Facility 324500000X 1550AD404201 FL

Addresses

Primary practice location

1509 N Military TRL Ste 100
West Palm Beach, FL 33409-4765

Mailing address

1509 N Military TRL Ste 100
West Palm Beach, FL 33409-4765
Phone (561) 683-9270

National Provider Directory

National Provider Directory
Tax ID family
Elevation Recovery Inc3 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.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1972969277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 N MILITARY TRL STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094765",
            "telephone_number": "561-683-9270",
            "fax_number": "561-683-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 N MILITARY TRL STE 100",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094765",
            "telephone_number": "561-683-9270",
            "fax_number": "561-683-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1550AD404201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.