BANYAN DETOX, LLC (NPI# 1407221328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407221328 |
| Entity Type | Organization |
| Organization Name | BANYAN DETOX, LLC |
| Practice Address |
201 Se Osceola St Stuart FL 34994-2210 |
| Mailing Address |
950 N Federal Hwy Suite 115 Pompano Beach FL 33062-4315 |
| Practice Telephone | 9545337705 |
| Practice Fax Number | 9547817191 |
| Mailing Telephone | 9545337705 |
| Mailing Fax Number | 9547817191 |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | ERIN KENNEDY (PRESIDENT) |
| Authorized Official Telephone | 9545337705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
201 SE OSCEOLA ST |
| City | STUART |
| State | FL |
| Zip Code | 34994-2210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447209358 | Waters Edge Surgery Center Inc | Clinic/Center | 201 Se Osceola St, Stuart, FL 34994-2210 | 2006-05-08 |
| 1477035707 | Patrick Michael Casey Jr. | Nurse Practitioner | 201 Se Osceola St, Stuart, FL 34994-2210 | 2018-09-04 |
| 1861713190 | Margot M Morrison-lee | Marriage & Family Therapist | 201 Se Osceola St, Stuart, FL 34994-2210 | 2010-06-22 |
| 1437476504 | Robert N. Cooper, M.d., P.a. | Plastic Surgery | 201 Se Osceola St, Stuart, FL 34994-2210 | 2010-04-28 |
| 1598796294 | David Stoler, Md Pa | Anesthesiology | 201 Se Osceola St, Stuart, FL 34994-2210 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| 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 |
|---|---|---|---|---|
| 1144879347 | Gracious Care Recovery Solutions, Inc. | Substance Abuse Rehabilitation Facility | 4931 Se Anchor Ave, Stuart, FL 34997-1907 | 2019-09-10 |
| 1447621404 | The Lukens Group, LLC. | Substance Abuse Rehabilitation Facility | 10 Se Central Pkwy Ste 400, Stuart, FL 34994-5903 | 2015-10-15 |
| 1891176475 | Recovery By The Sea | Substance Abuse Rehabilitation Facility | 2801 Se Martin Square Corporate Pkwy, Stuart, FL 34994 | 2015-06-09 |
| 1114351509 | Waters Edge Recovery, LLC | Substance Abuse Rehabilitation Facility | 117 Se Seminole St, Stuart, FL 34994-2122 | 2013-08-21 |
| 1013212653 | Hs Labs, LLC | Substance Abuse Rehabilitation Facility | 7989 Jack James Dr., Stuart, FL 34997 | 2011-01-12 |
| 1326404625 | The Lukens Group, LLC. | Substance Abuse Rehabilitation Facility | 10 Se Central Pkwy Ste 400, Stuart, FL 34994-5903 | 2016-01-04 |
| 1740539642 | Treasure Coast Recovery, LLC | Substance Abuse Rehabilitation Facility | 735 Colorado Ave, Suite 2, Stuart, FL 34994-3031 | 2012-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
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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.