BEACHCOMBER REHABILITATION, INC (NPI# 1720436793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720436793 |
| Entity Type | Organization |
| Organization Name | BEACHCOMBER REHABILITATION, INC |
| Other Organization Name | BEACHCOMBER OUTPATIENT SERVICES |
| Practice Address |
1001 W Commercial Blvd Fort Lauderdale FL 33309-3107 |
| Mailing Address |
4493 N Ocean Blvd Delray Beach FL 33483-7522 |
| Practice Telephone | 5617341818 |
| 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 |
| Other Name | Type Code |
|---|---|
| Beachcomber Outpatient Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639527609 | Beachcomber Rehabilitation, Inc | Substance Abuse Rehabilitation Facility | 4493 N Ocean Blvd, Delray Beach, FL 33483-7522 | 2016-05-31 |
| 1841617917 | Beachcomber Rehabilitation, Inc | Clinic/Center | 4493 N Ocean Blvd, Delray Beach, FL 33483-7522 | 2014-03-26 |
| Street Address |
1001 W COMMERCIAL BLVD |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33309-3107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508283326 | Beachcomber Outpatient Services | Clinic/Center | 1001 W Commercial Blvd, Fort Lauderdale, FL 33309-3107 | 2014-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942841507 | Integrity Home Care Plus LLC | In Home Supportive Care | 1451 W Cypress Road Ste 300, Fort Lauderdale, FL 33309 | 2019-10-04 |
| 1518519875 | Jordanna Bettencourt | Behavior Technician | 1000 Sw 65th St, Suite #201, Fort Lauderdale, FL 33309 | 2019-07-16 |
| 1114579752 | Jewel Porter | Behavior Technician | 1000 Nw 65th St., Suite #201, Fort Lauderda, FL 33309 | 2019-07-14 |
| 1003318049 | Tri County Pet LLC | Clinic/Center | 2122 W. Cypress Creek Road, Suite 210, Fort Lauderdale, FL 33309 | 2018-03-06 |
| 1821508722 | Rose Marie Cecile Dyer | Home Health Aide | 4217 Nw 37th Terrace, Lauderdale Lakes, FL 33309 | 2017-10-05 |
| 1245756790 | Kattys Elena Mendoza | Behavior Technician | 1001 W. Cypress Creek Rd., 120, Ft Lauderdale, FL 33309 | 2017-08-16 |
| 1669902847 | Sharon Desir | Social Worker | 2700 West Cypress Creek Road, Executive Court, B-106, Fort Lauderdale, FL 33309 | 2017-06-19 |
| 1184158503 | Rebecca Robin Washington | Behavioral Analyst | 1001 W Cypress Creek Rd #120, Fort Lauderdale, Fl 33309, Fort Lauderdale, FL 33309 | 2017-04-12 |
| 1124564281 | Alloy Behavioral Health Solutions, Inc | Specialist | 1835 S Perimeter Road Suite 170, Fort Lauderdale, FL 33309 | 2017-01-13 |
| 1740738855 | Christina Camarena | Behavior Technician | 6414 Nw 5th Way, Fort Lauderdale, FL 33309 | 2016-09-18 |
| Find all providers in zip 33309 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1134690167 | Recovery First of Florida, LLC | Clinic/Center | 4549 Sw 54th Ct, Fort Lauderdale, FL 33314-6704 | 2018-12-17 |
| 1427467463 | Victory Recovery House, LLC | Clinic/Center | 508 Sw 11th St, Fort Lauderdale, FL 33315-1234 | 2014-08-04 |
| 1124440375 | New Roads Florida LLC | Clinic/Center | 12 Se 12th St, Fort Lauderdale, FL 33316-1845 | 2014-01-07 |
| 1639419146 | Choices Recovery LLC | Clinic/Center | 609 Sw 12th Ct, Fort Lauderdale, FL 33315-1416 | 2013-02-20 |
| 1902960651 | Recovery Institute of Florida, Inc | Clinic/Center | 1080 Se 3rd Ave, Fort Lauderdale, FL 33316-1108 | 2006-12-20 |
| 1235766619 | Road To Recovery Wellness Center, LLC | Clinic/Center | 412 Se 6th Street, Fort Lauderdale, FL 33301 | 2020-03-25 |
| 1164951372 | Recovery First of Florida, LLC | Clinic/Center | 3100 E Commercial Blvd, Fort Lauderdale, FL 33308 | 2017-06-09 |
| 1801336813 | Ocean Sky Wellness, LLC | Clinic/Center | 4001 N Ocean Dr, 101-102, Fort Lauderdale, FL 33308-5968 | 2017-02-24 |
| 1700243300 | The Bougainvilla House, Inc. | Clinic/Center | 1727 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2016-01-27 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33309 |
Please comment or provide details below to improve the information on BEACHCOMBER REHABILITATION, INC.
| 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.