EDEN RECOVERY CENTER (NPI# 1457862823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457862823 |
| Entity Type | Organization |
| Organization Name | EDEN RECOVERY CENTER |
| Practice Address |
2158 W Atlantic Ave Delray Beach FL 33445-4635 |
| Practice Telephone | 5616746292 |
| Mailing Telephone | 5616746292 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-05-03 |
| Authorized Official Name | MARK MCGINLEY (OWNER) |
| Authorized Official Telephone | 5616746292 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities | |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
FL | Ambulatory Health Care Facilities |
| Street Address |
2158 W ATLANTIC AVE |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-4635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894839 | Timothy Joseph Marten Jr. | Physical Therapist | 601 N Congress Ave 411, Delray Beach, FL 33445 | 2019-08-01 |
| 1881252948 | Three Dots LLC | Behavioral Analyst | 1300 Nw 17th Ave Ste 272, Delray Beach, FL 33445 | 2019-06-04 |
| 1437649951 | Cardinal Care Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 601 N Congress Ave Ste 110b, Delray Beach, FL 33445 | 2018-05-10 |
| 1437654001 | Yvonne Marie Venton | Speech-Language Pathologist | 1221 Nw 19th Ter, Delray Beach, FL 33445 | 2018-03-27 |
| 1265935183 | Robert J Pina | Physical Therapist | 4800 Linton Blvd., Bldg. A-201, Delray Beach, FL 33445 | 2018-03-16 |
| 1447771159 | Julian Ibrahim Rashid | Pharmacist | 3030 Dorson Way, Delray Beach, FL 33445 | 2017-07-03 |
| 1285179333 | Sara Davis-larkins | Behavioral Analyst | 2061 Coral Trace Circle, Delray Beach, FL 33445 | 2016-12-28 |
| 1255876637 | Annette Annmarie Gray | Case Manager/Care Coordinator | 3624 Ave De Gien, Delray Beach, FL 33445 | 2016-12-21 |
| 1093262586 | Gordium Mental Health | Counselor | 4723 W Atlantic Ave St 21, Delray Beach, FL 33445 | 2016-09-01 |
| 1003279993 | Ted Paul | Home Health Aide | 2127 Sw 13 Ct, Delray Beach, FL 33445 | 2016-03-30 |
| Find all providers in zip 33445 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700249604 | Pride Recovery Center LLC | Clinic/Center | 2206 W Atlantic Ave. Suite 203, Delray Beach, FL 33445 | 2016-03-30 |
| 1275990947 | Achieve Behavioral Healthcare | Clinic/Center | 1200 Nw 17th Ave. Suite 6, Delray Beach, FL 33445 | 2016-01-26 |
| 1013387588 | Harmony Outpatient Center, LLC | Clinic/Center | 1300 Nw 17th Ave Ste 160, Delray Beach, FL 33445-2554 | 2015-09-28 |
| 1992172340 | Light of The World Rehabilitation & Recovery Services LLC | Clinic/Center | 2100 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2442 | 2015-09-01 |
| 1821473307 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Suite 101, Delray Beach, FL 33444-2511 | 2015-07-24 |
| 1811390867 | Proactive Recovery Center, LLC | Clinic/Center | 500 Gulfstream Blvd Ste 105, Delray Beach, FL 33483-6142 | 2014-10-06 |
| 1588065965 | Achieve Behavioral Healthcare LLC | Clinic/Center | 1200 Nw 17th Avenue, Suite 6, Delray Beach, FL 33445 | 2014-09-04 |
| 1174864839 | Florida Recovery Group LLC | Clinic/Center | 1300 Nw 17th Ave Ste 112, Delray Beach, FL 33445-2554 | 2013-03-06 |
| 1912259177 | Metro Urine Screening, Inc | Clinic/Center | 701 S Swinton Ave, Delray Beach, FL 33444-2377 | 2012-10-11 |
| 1508114976 | Seastone of Delray LLC | Clinic/Center | 810 Andrews Ave, Delray Beach, FL 33483-7220 | 2012-08-16 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on EDEN RECOVERY CENTER.
| 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.