BANYAN TREATMENT AND RECOVERY LLC NPI 1598192460

NPI Information

NPI: 1598192460
Provider Name: BANYAN TREATMENT AND RECOVERY, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
950 N. FEDERAL HWY
SUITE 115
POMPANO BEACH, FL
ZIP 33062
Phone: (888) 879-4975
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BANYAN TREATMENT AND RECOVERY, 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. BANYAN TREATMENT AND RECOVERY, LLC NPI is 1598192460. The provider is registered as an organization entity type.

The provider's business location address is:

950 N. FEDERAL HWY
SUITE 115
POMPANO BEACH, FL
ZIP 33062
Phone: (888) 879-4975
Fax: (954) 533-7717

The provider's authorized official is Gilbert Yates .
The authorized official title is Contracting Manager and has the following contact phone number (954) 533-7705.

The enumeration date for this NPI number is 10/8/2013 and was last updated on 11/3/2023.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	108681600	MEDICAID	FLORIDA

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: 4/28/2024

NPI Synchronization or Removal

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