SOHO WELLNESS INITIATIVE, LLC (NPI# 1205377462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205377462 |
| Entity Type | Organization |
| Organization Name | SOHO WELLNESS INITIATIVE, LLC |
| Practice Address |
4801 S Congress Ave Ste 120 Palm Springs FL 33461-4746 |
| Mailing Address |
4801 S Congress Ave., Ste. 120 Lake Worth FL 33461 |
| Practice Telephone | 5612147614 |
| Practice Fax Number | 5612938278 |
| Mailing Telephone | 5612147614 |
| Mailing Fax Number | 5612938278 |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | NATASHA KHAN (CEO) |
| Authorized Official Telephone | 5612147614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 504735707061 | FL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558719526 | Soho Wellness Initiative, LLC | Clinic/Center | 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 | 2016-05-31 |
| 1326417676 | Soho Wellness Initiative, LLC | Clinic/Center | 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 | 2015-09-16 |
| Street Address |
4801 S CONGRESS AVE STE 120 |
| City | PALM SPRINGS |
| State | FL |
| Zip Code | 33461-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167993 | Pcc Medical Holdings LLC | Health Maintenance Organization | 5055 South Congress Avenue, Suite 303, Lake Worth, FL 33461 | 2019-11-05 |
| 1841849692 | Five Star Medical Group Inc | Clinic/Center | 4300 10th Ave North, Suite 2, Lake Worth, FL 33461 | 2019-09-04 |
| 1346894375 | Patrick Pierre Jr. | Behavioral Analyst | 2430 Lake Worth Rd, Apt 2306, Lake Worth, FL 33461 | 2019-07-29 |
| 1740842699 | Amanda Shaw | Massage Therapist | 822 Lynnwood Dr, Lake Worth, FL 33461 | 2019-07-01 |
| 1043706005 | Elina Aguero Arman | Case Manager/Care Coordinator | 420 Alemeda Dr, Palm Springs, FL 33461 | 2018-07-02 |
| 1275028656 | Cagigas Dental Services Inc | Clinic/Center | 2311 10th Avenue North Suite 14, Lake Worth, FL 33461 | 2018-06-27 |
| 1972028447 | Annette Daley | Behavior Technician | 3595 2nd Ave North, Palm Springs, FL 33461 | 2017-08-07 |
| 1104349471 | Safe At Home Health Care, LLC | In Home Supportive Care | 555 Purdy Ln. #215, Palm Springs, FL 33461 | 2017-07-19 |
| 1609307271 | Yadira Perera | Assistant Behavior Analyst | 500 Davis Rd 42a, Palm Springs, FL 33461 | 2017-03-24 |
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| Find all providers in zip 33461 | ||||
| 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 |
|---|---|---|---|---|
| 1902345119 | Brian Dunphey | Substance Abuse Rehabilitation Facility | 1850 N San Clemente Rd, Palm Springs, CA 92262-3921 | 2017-02-21 |
| 1750826046 | Ascension Partners | Substance Abuse Rehabilitation Facility | 280 E Mel Ave, Palm Springs, CA 92262-4817 | 2016-12-22 |
| 1518402882 | Ascension Treatment Centers | Substance Abuse Rehabilitation Facility | 555 S Palm Canyon Dr, Suite A202, Palm Springs, CA 92264-7469 | 2016-12-22 |
| 1396987392 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 515 North Palm Canyon Drive, Bldg H, Palm Springs, CA 92262-5543 | 2009-04-06 |
| 1285883629 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 2095 N Indian Canyon Drive, Palm Springs, CA 92262-3019 | 2008-09-10 |
| 1043474463 | Life's Journey Center, Inc. | Substance Abuse Rehabilitation Facility | 291 E Camino Monte Vis, Palm Springs, CA 92262-4710 | 2008-07-15 |
| 1437368529 | Palm Springs Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 430 S Cahuilla Road, Palm Springs, CA 92262-7312 | 2007-05-22 |
| 1922571496 | Intervention 911 | Substance Abuse Rehabilitation Facility | 1990 E Calle Felicia, Palm Springs, CA 92262-7130 | 2019-01-08 |
| 1811460488 | Intervention 911 | Substance Abuse Rehabilitation Facility | 501 N Cantera Cir, Palm Springs, CA 92262-6226 | 2019-01-07 |
| 1366809501 | Intervention 911 | Substance Abuse Rehabilitation Facility | 420 S Palm Canyon Dr, C-d, Palm Springs, CA 92262-7304 | 2016-01-19 |
| Find all providers in PALM SPRINGS | ||||
| City | PALM SPRINGS |
| Zip Code | 33461 |
Please comment or provide details below to improve the information on SOHO WELLNESS INITIATIVE, LLC.
| 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.