ULTIMATE TRANSFORMATION (NPI# 1477921187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477921187 |
| Entity Type | Organization |
| Organization Name | ULTIMATE TRANSFORMATION |
| Practice Address |
618 Us Highway 1 Suite 200 North Palm Beach FL 33408 |
| Mailing Address |
618 Us Highway 1 Suite #200 North Palm Beach FL 33408-4623 |
| Practice Telephone | 5613869466 |
| Mailing Telephone | 5613869466 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Authorized Official Name | BRIAN P TULLY (CEO) |
| Authorized Official Telephone | 5613869466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 5046374645901 | FL | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | ULTIMATE TRANSFORMATION DEVELOPMENT, LLC | 5702 N 33rd St #22b, Tacoma, WA 98407-2597 |
| Washington State Corporations | ULTIMATE TRANSFORMATION LLC | 5215 N Winnifred St Unit B, Ruston, WA 98407-6514 |
| Street Address |
618 US HIGHWAY 1 SUITE 200 |
| City | NORTH PALM BEACH |
| State | FL |
| Zip Code | 33408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821123225 | Arlene Englander | Social Worker | 618 Us Highway 1, Suite 406, North Palm Beach, FL 33408-4623 | 2007-02-23 |
| 1164793204 | Physicians Wellness Centers, Inc | Physical Therapist | 618 Us Highway 1, Suite 200, North Palm Beach, FL 33408-4623 | 2012-01-20 |
| 1598057515 | Mental Health Promotion of The Palm Beaches, Inc. | Social Worker | 618 Us Highway 1, Suite 406, North Palm Beach, FL 33408-4623 | 2011-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306457585 | Naomi Bollaci | Pharmacist | 314 Northlake Blvd, North Palm Beach, FL 33408 | 2020-08-12 |
| 1740750306 | Dihana C Ruiz | Nurse Practitioner | 631 Us Highway One Suite 309, North Palm Beach, FL 33408 | 2018-11-27 |
| 1487121117 | Chancellor Medical | Durable Medical Equipment & Medical Supplies | 1224 N. Federal Highway, Suite D, North Palm Beach, FL 33408 | 2018-10-31 |
| 1538679535 | Jennifer Guldager | Physician Assistant | 11951 Us Highway 1 Ste 108, North Palm Beach, FL 33408 | 2017-10-04 |
| 1134646581 | Live Now Physical Therapy Inc. | Clinic/Center | 873 Fathom Rd W, North Palm Beach, FL 33408 | 2017-08-26 |
| 1912424573 | Magdalena Orosz | Clinical Medical Laboratory | 20 Celestial Way #205, Juno Beach, FL 33408 | 2017-08-24 |
| 1205377173 | Premier Compounding Pharmacy, Inc. | Pharmacy | 2000 Pga Blvd., Suite 5507, Palm Beach Gardens, FL 33408 | 2017-03-13 |
| 1841742160 | Anne Hart Rajawat | Speech-Language Pathologist | 1201 Us 1 Ste 210, North Palm Beach, FL 33408 | 2016-11-03 |
| 1801342605 | Lindsey Kelly | Occupational Therapist | 1201 U.S. Highway One, Suite 215, North Palm Beach, FL 33408 | 2016-08-31 |
| 1346694205 | Stephanie Lynch Therapy Inc. | Counselor | 513 Us Hwy #1, 213, North Palm Beach, FL 33408 | 2016-04-18 |
| Find all providers in zip 33408 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1174168587 | Jennifer Helen Davidson | Substance Abuse Rehabilitation Facility | 68 Yacht Club Dr Apt 17, North Palm Beach, FL 33408-3934 | 2019-11-08 |
| 1982101853 | Luxury Alcohol and Drug Rehab LLC | Substance Abuse Rehabilitation Facility | 631 Us 1 Ste 304, North Palm Beach, FL 33408-4620 | 2018-04-09 |
| 1922510080 | Sober Life Recovery Center LLC | Substance Abuse Rehabilitation Facility | 321 Northlake Blvd Ste 209, North Palm Beach, FL 33408-5411 | 2017-10-30 |
| 1255851903 | Gardens of New Beginnings Inc | Substance Abuse Rehabilitation Facility | 300 Prosperity Farms Rd Ste A, North Palm Beach, FL 33408-5212 | 2017-06-23 |
| 1346626769 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 630 Us Highway 1, Suite 200, North Palm Beach, FL 33408 | 2015-08-07 |
| 1851655849 | Unity Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 1240 Us Highway 1, Suite 200, North Palm Beach, FL 34984 | 2012-06-25 |
| 1033311568 | Recovery Resources, Inc. | Substance Abuse Rehabilitation Facility | 450 Northlake Blvd, Suite 11, North Palm Beach, FL 33408-5415 | 2007-06-05 |
| 1609382316 | Elan Recovery and Wellness of North Palm Beach | Substance Abuse Rehabilitation Facility | 741 Us Highway 1, North Palm Beach, FL 33408-4508 | 2017-12-18 |
| 1275823353 | Recovery Resources Inc | Substance Abuse Rehabilitation Facility | 450 Northlake Blvd, Suite 11, North Palm Beach, FL 33408-5415 | 2011-04-11 |
| Find all providers in NORTH PALM BEACH | ||||
| City | NORTH PALM BEACH |
| Zip Code | 33408 |
Please comment or provide details below to improve the information on ULTIMATE TRANSFORMATION.
| 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.