SQUARE ONE RECOVERY, LLC (NPI# 1578012589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578012589 |
| Entity Type | Organization |
| Organization Name | SQUARE ONE RECOVERY, LLC |
| Practice Address |
11576 Pierson Rd Wellington FL 33414-8767 |
| Practice Telephone | 5615129273 |
| Practice Fax Number | 5613456561 |
| Mailing Telephone | 5615129273 |
| Mailing Fax Number | 5613456561 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2017-01-13 |
| Authorized Official Name | KELI KORNMILLER (ONBOARDING SUPERVISOR) |
| Authorized Official Telephone | 5616728345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
5081347114901 | FL | Ambulatory Health Care Facilities |
| Street Address |
11576 PIERSON RD |
| City | WELLINGTON |
| State | FL |
| Zip Code | 33414-8767 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548542723 | Angels Recovery LLC | Substance Abuse Rehabilitation Facility | 11576 Pierson Rd, Unit K5, Wellington, FL 33414-8767 | 2011-09-14 |
| 1487101622 | Square One Recovery LLC | Substance Abuse Rehabilitation Facility | 11576 Pierson Rd, Wellington, FL 33414-8767 | 2016-09-06 |
| 1427461094 | Angels Recovery LLC | Clinical Medical Laboratory | 11576 Pierson Rd, Suite K4, Wellington, FL 33414-8767 | 2014-06-11 |
| 1942642384 | Angels Chiropractic LLC | Chiropractor | 11576 Pierson Rd, Suite K3, Wellington, FL 33414-8767 | 2013-07-26 |
| 1508100900 | Angels Recovery Detox | Substance Abuse Rehabilitation Facility | 11576 Pierson Rd, Suite K4, Wellington, FL 33414-8767 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707247 | Juana Maria Gonzales | Home Health | 2766 Penhall Ct, Wellington, FL 33414 | 2020-10-09 |
| 1821601089 | Wellington Rehab and Health Center, LLC | Skilled Nursing Facility | 10330 Nu Vista Ave, Wellington, FL 33414 | 2020-08-27 |
| 1730661158 | Michelle Alexis Anagnostu | Nurse Practitioner | 1447 Medical Park Blvd Suite 406, Wellington, FL 33414 | 2018-09-01 |
| 1932686193 | Borola Inc | Occupational Therapy Assistant | 1985 Canterbury Circle, Wellington, FL 33414 | 2018-07-20 |
| 1841783156 | Kid'z World Advance Inc | Behavioral Analyst | 2400 Wrotham Ter, Wellington, FL 33414 | 2018-06-11 |
| 1134619489 | Devin Michael Scheller | Counselor | 2077 Vinings Circle Apt 1303, Wellington, FL 33414 | 2018-05-12 |
| 1942726617 | Amanda Hardy | Social Worker | 11120 South Way, Suite 1, Wellington, FL 33414 | 2017-08-15 |
| 1467976423 | Dawn Carnegia Blackshear | Nurse Practitioner | 1397 Medical Park Blvd Ste 480, Wellington, FL 33414 | 2017-08-01 |
| 1508390238 | Morgan Mccollum | Speech-Language Pathologist | 2158 Polo Gardens Dr Apt 203, Wellington, FL 33414 | 2017-04-19 |
| 1003369786 | Memite G Charlemagne | Registered Nurse | 184 Berenger Walk, Royal Palm Beach, FL 33414 | 2016-07-28 |
| Find all providers in zip 33414 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138939 | Shining Light Peer Services | Clinic/Center | 3030 Powers Ave, Jacksonville, FL 32207-8043 | 2018-09-20 |
| 1962859983 | Miami Beach Holistic Addiction Treatment Center, LLC. | Clinic/Center | 309 23rd St Ste 200c, Miami Beach, FL 33139-1700 | 2016-05-19 |
| 1962865048 | Holistic Will | Clinic/Center | 2500 Quantum Lakes Dr Ste 212, Boynton Beach, FL 33426-8308 | 2016-04-05 |
| 1366782062 | Easy Horizons, LLC | Clinic/Center | 885 Se 6th Ave Ste C, Delray Beach, FL 33483-5184 | 2013-02-18 |
| 1467600205 | Hyperbaric Services of South Florida Inc | Clinic/Center | 8337 Nw 12th St, Suite 101, Doral, FL 33126-1841 | 2008-09-05 |
| 1578178851 | Crossings Addiction Services Inc, The | Clinic/Center | 107 W Main St, Wauchula, FL 33873-2819 | 2020-09-13 |
| 1477103521 | Mccormick Organization, Inc | Clinic/Center | 1355 N Atlantic Ave, Cocoa Beach, FL 32931-3203 | 2019-09-19 |
| 1396222618 | Square 1 Addiction Programs | Clinic/Center | 1212 Court St Ste B, Clearwater, FL 33756-5004 | 2018-07-20 |
| 1902393663 | Helping Hands Recovery Center, LLC | Clinic/Center | 4101 N Andrews Ave Ste 209, Oakland Park, FL 33309-4775 | 2018-04-18 |
| 1851811004 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Delray Beach, FL 33444-2511 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
| City | WELLINGTON |
| Zip Code | 33414 |
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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.