BOCA RI LLC (NPI# 1932631827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932631827 |
| Entity Type | Organization |
| Organization Name | BOCA RI LLC |
| Other Organization Name | BANYAN BOCA |
| Practice Address |
1000 Nw 15th St Boca Raton FL 33486 |
| Mailing Address |
1000 Nw 15th St Boca Raton FL 33486-1331 |
| Practice Telephone | 9545337705 |
| Practice Fax Number | 9543372674 |
| Mailing Telephone | 9545337705 |
| Mailing Fax Number | 9543372674 |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | ERIN KENNEDY (CRO) |
| Authorized Official Telephone | 9545337705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 323P00000X | Psychiatric Residential Treatment Facility | 8678 | FL | Residential Treatment Facilities |
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Banyan Boca | Doing Business As Name - Organization |
| Street Address |
1000 NW 15TH ST |
| City | BOCA RATON |
| State | FL |
| Zip Code | 33486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502800 | Med Supplies Rus LLC | Durable Medical Equipment & Medical Supplies | Med Supplies R Us, LLC, 1489 Pal Metto Park Rd., Suite 509 E, Boca Raton, FL 33486 | 2020-09-15 |
| 1235699547 | Ron N/a Goldwaser | Occupational Therapist | Boca Raton Rehabilitation Center, 755 Meadows Road, Boca Raton, FL 33486 | 2019-03-22 |
| 1982105516 | Noa Rivka Schwartz | Registered Nurse | 801 Meadows Rd Ste 120, Boca Raton, FL 33486 | 2018-02-28 |
| 1437663028 | Jasmine Fay Senatus | Physician Assistant | 5333 Town Center Road, Suite 402, Boca Raton, FL 33486 | 2017-11-19 |
| 1285160440 | Mary Lauderdale | Developmental Therapist | 836 Sw 9th St Circle, Boca Raton, FL 33486 | 2017-05-10 |
| 1700317153 | Jeffrey Wilson | Student in an Organized Health Care Education/Training Program | Florida Atlantic University Internal Medicine Residency, 800 Meadows Road, Boca Raton, FL 33486 | 2017-03-27 |
| 1528504354 | Megan M Lucas | Physician Assistant | 5458 Town Center Rd Ste 103, Boca Raton, FL 33486 | 2017-01-18 |
| 1962864280 | Annmarie Diazhernandez | Nurse Practitioner | 951 Nw 13 St Bl 5e, Boca Raton, FL 33486 | 2016-03-25 |
| 1689071078 | Djurdja Andrich | Nurse Practitioner | 1500 Nw 10th Ave #205, Boca Raton, FL 33486 | 2014-12-01 |
| 1811253057 | Zahidul Huq | Anesthesiology | 851 Meadows Rd Ste 212, Boca Raton, FL 33486 | 2012-04-02 |
| Find all providers in zip 33486 | ||||
| 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 |
|---|---|---|---|---|
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1356818637 | Medicus Health Plan, Inc. | Substance Abuse Rehabilitation Facility | 9980 Central Park Blvd N Ste 116, Boca Raton, FL 33428-1703 | 2018-10-25 |
| 1982187548 | Hcrd LLC | Substance Abuse Rehabilitation Facility | 7300 Camino Real Ste 206, Boca Raton, FL 33433-5518 | 2018-09-10 |
| 1275078560 | Allure Detox LLC | Substance Abuse Rehabilitation Facility | 7700 West Camino Real, 404, Boca Raton, FL 33433-5543 | 2016-12-22 |
| 1609267384 | Boca Detox Center LLC | Substance Abuse Rehabilitation Facility | 899 Meadows Rd Ste 100, Boca Raton, FL 33486-2338 | 2015-02-17 |
| 1225451933 | Dream Recovery International LLC | Substance Abuse Rehabilitation Facility | 3010 N. Military Trail, Boca Raton, FL 33431 | 2014-01-31 |
| 1285074518 | Sunny Style Sober Living LLC | Substance Abuse Rehabilitation Facility | 22798 Sw 65th Way, Boca Raton, FL 33428-5303 | 2013-07-01 |
| 1659613784 | Life of Purpose, LLC | Substance Abuse Rehabilitation Facility | 3848 Fau Blvd Ste 100, Innovation Center 2, Boca Raton, FL 33431-6437 | 2013-03-27 |
| 1053600254 | Hallway of Life Recovery Center, Inc | Substance Abuse Rehabilitation Facility | 5455 N Federal Hwy Ste B, Boca Raton, FL 33487-4994 | 2011-03-29 |
| 1124321807 | Awakenings of Florida | Substance Abuse Rehabilitation Facility | 275 Nw 20th St, Boca Raton, FL 33431-7972 | 2010-12-17 |
| Find all providers in BOCA RATON | ||||
| City | BOCA RATON |
| Zip Code | 33486 |
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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.