SUNCOAST DETOX LLC (NPI# 1447795018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447795018 |
| Entity Type | Organization |
| Organization Name | SUNCOAST DETOX LLC |
| Practice Address |
9935 Palomino Dr Lake Worth FL 33467-1014 |
| Practice Telephone | 5613019423 |
| Mailing Telephone | 5613019423 |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | EVA DUDEK (CEO) |
| Authorized Official Telephone | 5613019423 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| Street Address |
9935 PALOMINO DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498565 | Holistix Treatment Centers, LLC | Clinic/Center | 9935 Palomino Dr, Lake Worth, FL 33467-1014 | 2018-12-11 |
| 1932638541 | Pegasus Behavioral Health Inc | Clinic/Center | 9935 Palomino Dr, Lake Worth, FL 33467-1014 | 2017-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| 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 |
|---|---|---|---|---|
| 1982155842 | Palm Beach Addiction Center, Inc | Substance Abuse Rehabilitation Facility | 4196 Lake Worth Road, Lake Worth, FL 33461 | 2016-10-17 |
| 1104376565 | Oasis Recovery & Wellness | Substance Abuse Rehabilitation Facility | 7350 Lake Worth Rd, Lake Worth, FL 33467-2529 | 2016-10-10 |
| 1205384914 | Transcendence Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 1530 N Federal Hwy, Lake Worth, FL 33460-1965 | 2016-09-12 |
| 1700231800 | Seaside Treatment Center Inc. | Substance Abuse Rehabilitation Facility | 1028 N Federal Hwy, Lake Worth, FL 33460-2352 | 2016-04-27 |
| 1699193300 | Dukens Place LLC | Substance Abuse Rehabilitation Facility | 5727 Lincoln Cir E, Lake Worth, FL 33463-6758 | 2014-03-31 |
| 1205259975 | New Directions 2.0 LLC | Substance Abuse Rehabilitation Facility | 2290 10th Ave North Ste 201, Lake Worth, FL 33461 | 2014-01-30 |
| 1932539319 | Center for Alcohol and Drug Studies, Inc. | Substance Abuse Rehabilitation Facility | 7613-7625 Lake Worth Road, Lake Worth, FL 33467 | 2013-11-20 |
| 1538500897 | South Florida Treatment Center | Substance Abuse Rehabilitation Facility | 3360 Gondolier Way, Lake Worth, FL 33462-3622 | 2013-07-15 |
| 1598003055 | The Enclave House Inc | Substance Abuse Rehabilitation Facility | 115 Akron St, Unit B, Lake Worth, FL 33461-4808 | 2013-01-17 |
| 1245383447 | Genesis House Recovery Residence Inc. | Substance Abuse Rehabilitation Facility | 4865 40th Way S, Lake Worth, FL 33461-5301 | 2007-01-19 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on SUNCOAST DETOX 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.