Active NPI
Academy Whole Health Solutions
- Substance Abuse Rehabilitation Facility
- Lake Park, FL
National Provider Identifier
1982158929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- ACADEMY WHOLE HEALTH SOLUTIONS
- Practice address
- 504 10TH St
Lake Park, FL 33403 - Phone
- (949) 887-8987
- NPI assigned
- Aug 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jack Newman
- Title
- Ceo
- Phone
- (949) 887-8917
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | FL | Primary |
Addresses
Primary practice location
504 10TH St
Lake Park, FL 33403
Mailing address
504 10TH St
Lake Park, FL 33403
Phone (949) 887-8987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477958400000",
"number": "1982158929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 10TH ST",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "33403",
"telephone_number": "949-887-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 10TH ST",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "33403",
"telephone_number": "949-887-8987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACADEMY WHOLE HEALTH SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-08",
"last_updated": "2016-11-01",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-887-8917",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.