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PALM BEACH ELITE INC NPI 1164839338


NPI Information

NPI: 1164839338
Provider Name: PALM BEACH ELITE, INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2119290

Address:
3385 BURNS RD
SUITE 200
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 324-2140
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PALM BEACH ELITE, INC is a substance abuse rehabilitation facility in Palm Beach Gardens, 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. PALM BEACH ELITE, INC NPI is 1164839338. The provider is registered as an organization entity type.

The provider's business location address is:

3385 BURNS RD
SUITE 200
PALM BEACH GARDENS, FL
ZIP 33410-328
Phone: (561) 324-2140
Fax: (888) 510-9071

The provider's authorized official is Sandi Barnes .
The authorized official title is Ceo and has the following contact phone number (561) 324-2140.

The CLIA number assigned to this NPI record is 10D2119290 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/18/2014 and was last updated on 7/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility1550AD555201FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11550AD555201OTHERFLORIDADCF STATE LICENSE

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: 11/14/2023

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