THE RECOVERY VILLAGE AT UMATILLA (NPI# 1760729669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760729669 |
| Entity Type | Organization |
| Organization Name | THE RECOVERY VILLAGE AT UMATILLA |
| Practice Address |
633 Umatilla Blvd Umatilla FL 32784-8418 |
| Mailing Address |
1 Financial Plz Ste 1800 Ft Lauderdale FL 33394-0011 |
| Practice Telephone | 9547468232 |
| Practice Fax Number | 9547468981 |
| Mailing Telephone | 7543003120 |
| Mailing Fax Number | 8889194431 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | BELINA SURUJON (LICENSING & CONTRACTING DIRECTOR) |
| Authorized Official Telephone | 7543003120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
| Street Address |
633 UMATILLA BLVD |
| City | UMATILLA |
| State | FL |
| Zip Code | 32784-8418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740501915 | Christina Davis | Nurse Practitioner | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2010-06-22 |
| 1265058788 | Stephenie Jo Wolford-ward | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2020-06-20 |
| 1821514092 | Mamta Rao | Dietitian, Registered | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2017-08-18 |
| 1356899314 | Deanne Elizabeth Torell | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2016-09-19 |
| 1790109643 | Richard Jose Molina | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2014-02-13 |
| 1871935205 | Jessica Ann Grayburn | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-07-26 |
| 1891137709 | Jennyffer Miller | Psychiatry & Neurology | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-07-19 |
| 1982049359 | Ana Cristina Rosa | Nurse Practitioner | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2013-04-30 |
| 1891065322 | Vanessa Bruno Couture | Counselor | 633 Umatilla Blvd, Umatilla, FL 32784-8418 | 2011-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650411 | Elmer Perez | Counselor | 366 Lake St, Umatilla, FL 32784 | 2020-02-05 |
| 1780178012 | Cheryl Lee Myers | Social Worker | 41025 Thomas Boat Landing Road, Umatilla, FL 32784 | 2018-06-20 |
| 1306372115 | Norman H. Bissel IIi | Counselor | 41025 Thomas Boat Landing Rd, Umatilla, FL 32784 | 2017-05-11 |
| 1265856017 | The Recovery Village | Substance Abuse Rehabilitation Facility | 633 Umatilla Blvd., The Recovery Village, Umatilla, FL 32784 | 2014-02-14 |
| 1114214830 | Michele L Walsh | Marriage & Family Therapist | 19826 E 5th St, Umatilla, FL 32784 | 2011-07-01 |
| 1730406802 | Mary A Futch | Massage Therapist | 41444 Sr19, Unit 2, Umatilla, FL 32784 | 2010-04-28 |
| 1629280938 | David Bentley | Physical Therapy Assistant | 15745 Dora Avenue, Suite B, Tavares, FL 32784 | 2007-05-07 |
| 1023027885 | Jennifer S. Holt | Dentist | 285 South Central Ave., Umatilla, FL 32784 | 2006-08-07 |
| 1568670578 | Dixon Alan Hays | Dentist | 285 S Central Ave, Umatilla, FL 32784-2270 | 2007-05-21 |
| 1376629980 | George G Gavin | Physician Assistant | 390 S Central Ave, Umatilla, FL 32784-2325 | 2006-10-27 |
| Find all providers in zip 32784 | ||||
| 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 |
|---|---|---|---|---|
| 1265856017 | The Recovery Village | Substance Abuse Rehabilitation Facility | 633 Umatilla Blvd., The Recovery Village, Umatilla, FL 32784 | 2014-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| 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.