BANYAN TREATMENT CENTER MASS, LLC (NPI# 1598118515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598118515 |
| Entity Type | Organization |
| Organization Name | BANYAN TREATMENT CENTER MASS, LLC |
| Practice Address |
66k Concord St Wilmington MA 01887-2179 |
| 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 | 2016-07-14 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | GLORIA FREIFELD (CFO) |
| Authorized Official Telephone | 9545337705 |
| 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 |
66K CONCORD ST |
| City | WILMINGTON |
| State | MA |
| Zip Code | 01887-2179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396208039 | Wilmington Rehab Center LLC | Skilled Nursing Facility | 90 West Street, Wilmington, MA 01887 | 2019-04-10 |
| 1912444159 | Myriam Mercedes Claudio Moser | Physical Therapist | 230 Lowell Street, Suite 2d, Wilmington, MA 01887 | 2017-01-26 |
| 1831430842 | Maribeth Crupi Physical Therpay LLC | Clinic/Center | 10 Elizabeth Drive, Wilmington, MA 01887 | 2013-03-15 |
| 1497027643 | Kristie Demirev | Social Worker | 113 West St, Wilmington, MA 01887 | 2012-02-03 |
| 1780828434 | Dental Care of Wilmington, LLC | Dentist | 66 Unit T Concord St, Wilmington, MA 01887 | 2009-04-25 |
| 1316191844 | Rem Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 | 2008-11-11 |
| 1982894622 | Angie Faith Brenner | Social Worker | 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 | 2007-07-30 |
| 1093847345 | Deborah Ann Edgerly | Dentist | 388 Rear Main Street, Wilmington, MA 01887 | 2007-03-12 |
| 1033240817 | Wilminton Public Schools | Local Education Agency (LEA) | 161 Church St., Wilmington, MA 01887 | 2007-03-07 |
| 1013046176 | Occupational Health Centers of The Southwest, P.a., Co. | Clinic/Center | 66b Concord St., Wilmington, MA 01887 | 2007-03-05 |
| Find all providers in zip 01887 | ||||
| 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 |
|---|---|---|---|---|
| 1861090896 | Niyhosi Wilson-butts | Substance Abuse Rehabilitation Facility | 222 E 30th St, Wilmington, DE 19802-3206 | 2020-10-12 |
| 1912463266 | Essentials of Recovery De | Substance Abuse Rehabilitation Facility | 3700 Lancaster Pike, Wilmington, DE 19805-1511 | 2019-02-12 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1750822847 | Momentum Recovery LLC | Substance Abuse Rehabilitation Facility | 5102 Wrightsville Ave, Wilmington, NC 28403-7054 | 2017-03-09 |
| 1730567033 | Legacy Treatment Center | Substance Abuse Rehabilitation Facility | 5401 New Centre Drive, Suite 200, Wilmington, NC 28403 | 2015-05-07 |
| 1952891368 | Connections | Substance Abuse Rehabilitation Facility | 1120 Brandywine St, Wilmington, DE 19802-5219 | 2018-05-11 |
| 1114056298 | The Wilmington Treatment Center | Substance Abuse Rehabilitation Facility | 2520 Troy Dr, Wilmington, NC 28401-7661 | 2007-03-05 |
| 1306973086 | East Coast Solutions, Inc | Substance Abuse Rehabilitation Facility | 1312 S 16th St, Wilmington, NC 28401-6422 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874514 | Compass Recovery, LLC | Substance Abuse Rehabilitation Facility | 128 Meadow Rd, Longmeadow, MA 01106-3055 | 2020-09-07 |
| 1831708726 | Topsail Addiction Treatment, Inc. | Substance Abuse Rehabilitation Facility | 140 Haverhill St Ste 8, Andover, MA 01810-1504 | 2020-07-27 |
| 1700404464 | Aware Recovery Care of Massachusetts, LLC | Substance Abuse Rehabilitation Facility | 9 Damonmill Sq Ste 105, Concord, MA 01742-2858 | 2020-07-09 |
| 1679190748 | Baystate Recovery Services LLC | Substance Abuse Rehabilitation Facility | 950 Cummings Ctr Ste 106x, Beverly, MA 01915-6274 | 2020-07-06 |
| 1992331821 | Metanoia Recovery, LLC | Substance Abuse Rehabilitation Facility | 55 Concord St, North Reading, MA 01864-2640 | 2020-03-23 |
| 1205462124 | Rockland Recovery Treatment Centers, LLC | Substance Abuse Rehabilitation Facility | 884 Washington St Ste 100, Weymouth, MA 02189-1530 | 2020-03-23 |
| 1679055347 | The Coleman Institute of America, LLC | Substance Abuse Rehabilitation Facility | 30 Washington St Ste 300, Wellesley Hills, MA 02481-1935 | 2018-08-30 |
| 1992205207 | New England Aftercare Ministries, Inc. | Substance Abuse Rehabilitation Facility | 18 Summit St, Framingham, MA 01702-7363 | 2018-02-14 |
| 1316446297 | Hurley House, Inc. | Substance Abuse Rehabilitation Facility | 12 Lowell St, Waltham, MA 02453-5254 | 2018-02-07 |
| 1356865448 | Sober 4 Life Inc. | Substance Abuse Rehabilitation Facility | 244 County St, Attleboro, MA 02703-3501 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
| City | WILMINGTON |
| Zip Code | 01887 |
Please comment or provide details below to improve the information on BANYAN TREATMENT CENTER MASS, 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.