RECOVERY BOOT CAMP, LLC (NPI# 1851811004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851811004 |
Entity Type | Organization |
Organization Name | RECOVERY BOOT CAMP, LLC |
Practice Address |
85 Sw 5th Ave Delray Beach FL 33444-2511 |
Practice Telephone | (561) 563-8888 |
Practice Fax Number | 5612654561 |
Mailing Telephone | 5615638888 |
Mailing Fax Number | 5612654561 |
Enumeration Date | 2017-06-20 |
Last Update Date | 2017-07-07 |
Authorized Official Name | TIMOTHY SCHNELLENBERGER (CEO) |
Authorized Official Telephone | 5612512770 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
50=========01 | FL | Ambulatory Health Care Facilities |
Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | SUBSTANCE ABUSE | 18214773307 | 01 |
FL | SUBSTANCE ABUSE | 1710362272 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821473307 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Suite 101, Delray Beach, FL 33444-2511 | 2015-07-24 |
1710362272 | Recovery Boot Camp, LLC | Substance Abuse Rehabilitation Facility | 401 Sw 1st St, Delray Beach, FL 33444-2501 | 2015-07-27 |
Street Address |
85 SW 5TH AVE |
City | DELRAY BEACH |
State | FL |
Zip Code | 33444-2511 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821473307 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Suite 101, Delray Beach, FL 33444-2511 | 2015-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053942193 | Jeanette Zaneta Denker | Psychologist | 202 N Swinton Avenue, Delray Beach, FL 33444 | 2020-01-28 |
1861048290 | Marcus Grey | General Practice | 109 North Swinton Avenue, Delray Beach, FL 33444 | 2019-08-12 |
1700367471 | Gracenia Jerome | Physical Therapy Assistant | 821 Sw 3rd Ct, Delray Beach, FL 33444 | 2018-08-22 |
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 |
1942729173 | Jacqueline Channell | Nurse Practitioner | 111 Stone Harbor Way F1, Delray Beach, FL 33444 | 2017-09-19 |
1720508708 | Brunia Beaubrun | Clinic/Center | 725 Village Square Cir., Unit 318, Delray Beach, FL 33444 | 2017-06-21 |
1023472719 | Turning Point Sober Home | Case Management | 634 Bunting Dr, Delray, FL 33444 | 2016-04-08 |
1568829299 | Derek Moore | Chiropractor | 401 W Atlantic Ave Unit 14, Delray Beach, FL 33444 | 2016-01-26 |
1114316056 | Michael Mayhall | Counselor | 213 Northwest 15th Avenue, Delray Beach, FL 33444 | 2015-01-15 |
Find all providers in zip 33444 |
Taxonomy Code | 261QR0800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Recovery Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366782062 | Easy Horizons, LLC | Clinic/Center | 885 Se 6th Ave Ste C, Delray Beach, FL 33483-5184 | 2013-02-18 |
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1487138939 | Shining Light Peer Services | Clinic/Center | 3030 Powers Ave, Jacksonville, FL 32207-8043 | 2018-09-20 |
1962859983 | Miami Beach Holistic Addiction Treatment Center, LLC. | Clinic/Center | 309 23rd St Ste 200c, Miami Beach, FL 33139-1700 | 2016-05-19 |
1962865048 | Holistic Will | Clinic/Center | 2500 Quantum Lakes Dr Ste 212, Boynton Beach, FL 33426-8308 | 2016-04-05 |
1467600205 | Hyperbaric Services of South Florida Inc | Clinic/Center | 8337 Nw 12th St, Suite 101, Doral, FL 33126-1841 | 2008-09-05 |
1578178851 | Crossings Addiction Services Inc, The | Clinic/Center | 107 W Main St, Wauchula, FL 33873-2819 | 2020-09-13 |
1477103521 | Mccormick Organization, Inc | Clinic/Center | 1355 N Atlantic Ave, Cocoa Beach, FL 32931-3203 | 2019-09-19 |
1396222618 | Square 1 Addiction Programs | Clinic/Center | 1212 Court St Ste B, Clearwater, FL 33756-5004 | 2018-07-20 |
1902393663 | Helping Hands Recovery Center, LLC | Clinic/Center | 4101 N Andrews Ave Ste 209, Oakland Park, FL 33309-4775 | 2018-04-18 |
1104367085 | Restore Hope of Jensen Beach, LLC | Clinic/Center | 3300 Ne Sugarhill Ave, Jensen Beach, FL 34957-3700 | 2017-03-13 |
1760928212 | Living Hope Recovery Center | Clinic/Center | 1531 Sw Commercial Gln, Lake City, FL 32025-0454 | 2017-01-09 |
Find all providers with the same taxonomy |
City | DELRAY BEACH |
Zip Code | 33444 |
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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.