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BEACON RECOVERY CENTER LLC NPI 1356037477


NPI Information

NPI: 1356037477
Provider Name: BEACON RECOVERY CENTER LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2284427

Address:
803 NW 2ND AVE
POMPANO BEACH, FL
ZIP 33060
Phone: (772) 812-9652
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BEACON RECOVERY CENTER LLC is a substance abuse rehabilitation facility in Pompano Beach, FL. The provider is 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. BEACON RECOVERY CENTER LLC NPI is 1356037477. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

803 NW 2ND AVE
POMPANO BEACH, FL
ZIP 33060-604
Phone: (772) 812-9652
Fax: (833) 535-0164

The provider's authorized official is Jared Turner .
The authorized official title is Billing Manager and has the following contact phone number (772) 812-9652.

The CLIA number assigned to this NPI record is 10D2284427 - other - detox center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 8/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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