THE HAVEN DETOX FT. PIERCE, LLC (NPI# 1205209004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205209004 |
Entity Type | Organization |
Organization Name | THE HAVEN DETOX FT. PIERCE, LLC |
Practice Address |
4707 Oleander Ave Fort Pierce FL 34982-4209 |
Mailing Address |
3951 Haverhill Rd N Apt 120-121 West Palm Beach FL 33417-8154 |
Practice Telephone | 5616169000 |
Mailing Telephone | 5616169000 |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |
Authorized Official Name | KIRILL VESSELOV (PRESIDENT) |
Authorized Official Telephone | 5616169000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
Street Address |
4707 OLEANDER AVE |
City | FORT PIERCE |
State | FL |
Zip Code | 34982-4209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932759305 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Employee Health and Wellness, 2200 Virginia Avenue, Fort Pierce, FL 34982 | 2019-09-17 |
1548732159 | Regenerative Medical Group Inc | Family Medicine | 2624 S, Us1, Fort Pierce, FL 34982 | 2018-12-20 |
1609352905 | Shapiro Family Dentistry of Fort Pierce Pa | Dentist | Coral Square Shoppes 3006 Us Highway 1, Suite D2/d3, Fort Pierce, FL 34982 | 2018-07-19 |
1821585514 | Coralis Ivette Reyes | Social Worker | 2814 South U.S. Hwy1, Suite D4, Fort Pierce, FL 34982 | 2018-04-18 |
1720509441 | Quality Care Holdings Inc | Non-emergency Medical Transport (VAN) | 3247 Oleander Ave Suite A5, Fort Pierce, FL 34982 | 2017-07-03 |
1770013377 | Kira Patricia Omeally | Assistant Behavior Analyst | 2106 Linda Sue Circle #105, Fort Pierce, FL 34982 | 2017-06-15 |
1124557483 | Linda S Colebrooke | Marriage & Family Therapist | 2814 South U.S. Hwy 1, Suite D4, Fort Pierce, FL 34982 | 2017-06-08 |
1619404845 | Angili Hamilton | Social Worker | 2814 South .s. Hwy 1 Suite D4, Fort. Pierce, FL 34982 | 2017-05-18 |
1881146652 | Tasha Daley | Community Health Worker | 3215 S Hwy 1 Suite F, Fort Pierce, FL 34982 | 2016-10-27 |
1952792764 | Casper Lockwood | Case Manager/Care Coordinator | 2814 South U.s Hwsy 1, Suite D4, Fort Pierce, FL 34982 | 2015-02-16 |
Find all providers in zip 34982 |
Taxonomy Code | 324500000X |
Grouping | Residential Treatment Facilities |
Classification | Substance Abuse Rehabilitation Facility |
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
Notes: [7/1/2003: modified title, modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386139699 | Pas Substance Abuse, Inc. | Substance Abuse Rehabilitation Facility | 2017 Avenue D, Fort Pierce, FL 34950 | 2018-06-28 |
1851886808 | A Road To Nirvana Inc | Substance Abuse Rehabilitation Facility | 3501 Orange Ave, Fort Pierce, FL 34947-3523 | 2018-06-22 |
1598272098 | Beachside Detox LLC | Substance Abuse Rehabilitation Facility | 912 Avenue I, Fort Pierce, FL 34950-2237 | 2018-01-05 |
1932571460 | Plant A Seed | Substance Abuse Rehabilitation Facility | 2021 Avenue D, Fort Pierce, FL 34950-2747 | 2015-10-23 |
1982748208 | Restoration Ministries, Inc. | Substance Abuse Rehabilitation Facility | 609 N 7th St, Fort Pierce, FL 34950-3109 | 2007-02-19 |
1942363072 | Choices Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 606 N Us Highway 1, Fort Pierce, FL 34950-3096 | 2006-12-19 |
1538222187 | Florida Center for Recovery | Substance Abuse Rehabilitation Facility | 3451 W Midway Rd, Fort Pierce, FL 34981-4960 | 2006-12-18 |
1699394635 | Desert Rose Detox LLC | Substance Abuse Rehabilitation Facility | 912 Avenue I, Fort Pierce, FL 34950-2237 | 2020-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
Find all providers with the same taxonomy |
City | FORT PIERCE |
Zip Code | 34982 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.