IMMERSION RECOVERY CENTER LLC (NPI# 1568821056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568821056 |
| Entity Type | Organization |
| Organization Name | IMMERSION RECOVERY CENTER LLC |
| Practice Address |
3333 S Congress Ave Suite 402 Delray Beach FL 33445-7308 |
| Practice Telephone | 5618435904 |
| Practice Fax Number | 5618778041 |
| Mailing Telephone | 5618778232 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | MR. ROSALIND JOSEPH (AUTHORIZED OFFICAL) |
| Authorized Official Telephone | 9546078075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295198208 | Immersion Recovery Center LLC | Psychologist | 1700 W Woolbright Rd Ste 4, Boynton Beach, FL 33426-6346 | 2016-03-29 |
| Street Address |
3333 S CONGRESS AVE SUITE 402 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33445-7308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629405501 | Guardian Recovery Network, LLC | Substance Abuse Rehabilitation Facility | 3333 S Congress Ave, Suite 402, Delray Beach, FL 33445-7308 | 2013-10-09 |
| 1093255614 | Amanda Eilola | Social Worker | 3333 S Congress Ave, Suite 402, Delray Beach, FL 33445-7308 | 2017-03-01 |
| 1124567375 | Matthew Navratil | Social Worker | 3333 S Congress Ave, Suite 402, Delray Beach, FL 33445-7308 | 2017-02-21 |
| 1770949356 | Ambassador Health Services Inc | In Home Supportive Care | 3333 S Congress Ave, Suite 100, Delray Beach, FL 33445 | 2016-01-12 |
| 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 | 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 |
|---|---|---|---|---|
| 1629565650 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 707 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1710474705 | Palm Partners, LLC | Substance Abuse Rehabilitation Facility | 709 Linton Blvd., Building D, Delray Beach, FL 33444 | 2018-04-16 |
| 1457862823 | Eden Recovery Center | Substance Abuse Rehabilitation Facility | 2158 W Atlantic Ave, Delray Beach, FL 33445-4635 | 2017-10-12 |
| 1417498130 | Millennium Recovery Center | Substance Abuse Rehabilitation Facility | 115 Sw 11th Ave, Delray Beach, FL 33444-1527 | 2017-03-14 |
| 1831561729 | Solutions Recovery Center | Substance Abuse Rehabilitation Facility | 16145 State Road 7 Ste D, Delray Beach, FL 33446-2735 | 2015-10-30 |
| 1154790806 | Epiphany Resources LLC | Substance Abuse Rehabilitation Facility | 16110 Jog Rd Ste 200, Delray Beach, FL 33446-2350 | 2015-09-23 |
| 1083094858 | Solutions Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 16145 State Road 7 Ste C&d, Delray Beach, FL 33446-2735 | 2015-06-05 |
| 1235524760 | Sober City Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 2152 W Atlantic Ave, Delray Beach, FL 33445-4635 | 2015-04-01 |
| 1497144158 | Palm Partners LLC | Substance Abuse Rehabilitation Facility | 1177 George Bush Blvd, Delray Beach, FL 33483-7288 | 2015-01-20 |
| 1841604337 | Rockin Recovery Life Skills, LLC | Substance Abuse Rehabilitation Facility | 265 Ne 5th Ave, Delray Beach, FL 33483-5530 | 2014-06-12 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33445 |
Please comment or provide details below to improve the information on IMMERSION RECOVERY CENTER LLC.
| 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.