PREMIERE ADDICTION RECOVERY, LLC (NPI# 1669039061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669039061 |
| Entity Type | Organization |
| Organization Name | PREMIERE ADDICTION RECOVERY, LLC |
| Practice Address |
225 N Burnett Rd Cocoa FL 32926-4242 |
| Mailing Address |
5713 Corporate Way Ste 101 West Palm Beach FL 33407-2045 |
| Practice Telephone | 5617228055 |
| Mailing Telephone | 5617228055 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | CATHY CLAUD (CEO) |
| Authorized Official Telephone | 5617228055 |
| Authorized Official Credential | MNM, CAP, CRRA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1970 Michigan Ave Bldg J-11, Cocoa, FL 329225758 | 5617228055 |
| Street Address |
225 N BURNETT RD |
| City | COCOA |
| State | FL |
| Zip Code | 32926-4242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568712396 | Jeannine Doyle | Counselor | 225 N Burnett Rd, Cocoa, FL 32926-4242 | 2012-09-19 |
| 1295248490 | Qhds LLC | Clinic/Center | 225 N Burnett Rd, Cocoa, FL 32926-4242 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659619146 | Jennifer Vajanyi | Pharmacist | 2301 Sr 524, Cocoa, FL 32926 | 2013-01-18 |
| 1992077515 | Carol Ann Shirley | Occupational Therapy Assistant | 3032 Dunhill Drive, Cocoa, FL 32926 | 2012-01-27 |
| 1457589111 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 450 Townsend Road, Cocoa, FL 32926 | 2009-07-01 |
| 1740403450 | Katherine Elizabeth Holeman | Counselor | 690 Friday Road, Cocoa, FL 32926 | 2007-04-11 |
| 1326102336 | The Devereux Foundation | Clinic/Center | 225 N Burnett Drive, Cocoa, FL 32926 | 2006-12-21 |
| 1073553483 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2301 Sr 524 Lot 150, Cocoa, FL 32926 | 2006-06-07 |
| 1356824981 | Magdalena A Mcneeley | Behavioral Analyst | 1370 Mycroft Dr, Cocoa, FL 32926-1825 | 2018-09-10 |
| 1487938247 | Delatron Johnson | Occupational Therapy Assistant | 1297 Mycroft Dr, Cocoa, FL 32926-1826 | 2011-09-28 |
| 1487944435 | Rhonda Jones-davis | Marriage & Family Therapist | 5402 Talbot Blvd, Cocoa, FL 32926-1834 | 2011-04-12 |
| 1275760605 | Deborah Lynn Lombard | Nurse Practitioner | 362 Cressa Cir, Cocoa, FL 32926-2462 | 2009-06-11 |
| Find all providers in zip 32926 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248490 | Qhds LLC | Clinic/Center | 225 N Burnett Rd, Cocoa, FL 32926-4242 | 2017-11-09 |
| 1275830804 | Specialized Treatment, Education and Prevention Services, Inc. | Clinic/Center | 803 N Fiske Blvd, Cocoa, FL 32922-7309 | 2011-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839283 | St John's Recovery Place LLC | Clinic/Center | St Johns Recovery Place LLC, 1811 S Orlando Ave, Cocoa Beach, FL 32931-3211 | 2020-07-24 |
| 1205451689 | Inspire of Palm Beach | Clinic/Center | 1803 S Australian Ave, West Palm Beach, FL 33409-6454 | 2020-06-11 |
| 1548882319 | Melrose Institute, LLC | Clinic/Center | 450 W Hillsboro Bvd, Deerfield Bch, FL 33441 | 2020-05-14 |
| 1265054761 | Holistix Treatment Centers, LLC | Clinic/Center | 5311 Lake Worth Rd, Greenacres, FL 33463-3353 | 2020-05-07 |
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| 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.