Active NPI
Light of the World Rehabilitation & Recovery Services LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Delray Beach, FL
National Provider Identifier
1992172340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- LIGHT OF THE WORLD REHABILITATION & RECOVERY SERVICES LLC
- Practice address
- 2100 Lake Ida Rd Ste 2
Delray Beach, FL 33445-2442 - Phone
- (305) 310-6618
- Fax
- (561) 330-5268
- NPI assigned
- Sep 1, 2015
- 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. Kevin Blaine Schmidt, LCSW, BACC
- Title
- Ceo
- Phone
- (305) 310-6618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2100 Lake Ida Rd Ste 2
Delray Beach, FL 33445-2442
Mailing address
2100 Lake Ida Rd Ste 2
Delray Beach, FL 33445-2442
Phone (305) 310-6618
Other names 1
- Light of the World Counseling
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559260800000",
"number": "1992172340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 LAKE IDA RD STE 2",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334452442",
"telephone_number": "305-310-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 LAKE IDA RD STE 2",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334452442",
"telephone_number": "305-310-6618",
"fax_number": "561-330-5268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIGHT OF THE WORLD REHABILITATION & RECOVERY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-01",
"last_updated": "2019-05-31",
"status": "A",
"authorized_official_last_name": "SCHMIDT",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "BLAINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-310-6618",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW, BACC"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Light of the World Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.