SOHO WELLNESS INITIATIVE, LLC (NPI# 1558719526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558719526 |
| Entity Type | Organization |
| Organization Name | SOHO WELLNESS INITIATIVE, LLC |
| Practice Address |
4801 S Congress Ave Suite 120 Lake Worth FL 33461-4746 |
| Practice Telephone | 5612147614 |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |
| Authorized Official Name | NICOLA RAJARAM (BILLING MANAGER) |
| Authorized Official Telephone | 9542726723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377462 | Soho Wellness Initiative, LLC | Substance Abuse Rehabilitation Facility | 4801 S Congress Ave Ste 120, Palm Springs, FL 33461-4746 | 2017-03-20 |
| 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 SUITE 120 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33461-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962461640 | David H Kiner | Internal Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2006-03-21 |
| 1326417676 | Soho Wellness Initiative, LLC | Clinic/Center | 4801 S Congress Ave, Suite 120, Lake Worth, FL 33461-4746 | 2015-09-16 |
| 1326399791 | Blue Water Doctors of Lake Worth LLC | Family Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2012-09-26 |
| 1508147240 | Wellington Orthopedic Institute | Orthopaedic Surgery | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2011-09-08 |
| 1790095693 | Dr David H Kiner Do Pa | Internal Medicine | 4801 S Congress Ave, Suite 304, Lake Worth, FL 33461-4746 | 2010-10-14 |
| 1558680991 | Dennis Montoya | Physical Therapist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2010-05-25 |
| 1396077210 | Sarah Oliver | Specialist/Technologist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2010-02-02 |
| 1154595023 | Conte's Dental Group | Dentist | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2008-04-22 |
| 1306018858 | Audrey E Sawney-young | Occupational Therapy Assistant | 4801 S Congress Ave, Lake Worth, FL 33461-4746 | 2008-03-25 |
| 1497933998 | Raymond Eric Tsao | Internal Medicine | 4801 S Congress Ave, Suite 201, Lake Worth, FL 33461-4746 | 2008-02-06 |
| Find all providers in the same location | ||||
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689123390 | Center for Alcohol and Drug Studies, Inc. | Clinic/Center | 4887 Paetzold, Lake Worth, FL 33461-5530 | 2016-09-23 |
| 1780084400 | Leap Intensive Outpatient Services LLC | Clinic/Center | 9664 Campi Dr, Lake Worth, FL 33467-6997 | 2014-08-29 |
| 1568887545 | Nr Florida Associates LLC | Clinic/Center | 4020 Lake Worth Rd, Lake Worth, FL 33461-3918 | 2014-02-27 |
| 1386074151 | Center for Alcohol and Drug Studies, Inc. | Clinic/Center | 3161 Prince Dr, Lake Worth, FL 33461-5534 | 2013-11-15 |
| 1659707792 | Stay'n Alive, Inc. | Clinic/Center | 5649 Strawberry Lakes Cir, Lake Worth, FL 33463-6516 | 2013-09-20 |
| 1033542667 | L.l.&r.'s Stepping Stones, LLC | Clinic/Center | 4037 Lakewood Rd, Lake Worth, FL 33461-3432 | 2013-08-19 |
| 1063707511 | Total Recovery Now, Inc. | Clinic/Center | 1718 N Federal Hwy, Lake Worth, FL 33460-6643 | 2011-06-13 |
| 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 |
| 1043751050 | Family Healthcare of Delray, Inc | Clinic/Center | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2017-03-10 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| 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.