LEAP INTENSIVE OUTPATIENT SERVICES LLC (NPI# 1780084400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780084400 |
| Entity Type | Organization |
| Organization Name | LEAP INTENSIVE OUTPATIENT SERVICES LLC |
| Practice Address |
9664 Campi Dr Lake Worth FL 33467-6997 |
| Mailing Address |
200 Castlewood Dr North Palm Beach FL 33408-5666 |
| Practice Telephone | 5613469910 |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |
| Authorized Official Name | MONIQUE WINNIK (CEO) |
| Authorized Official Telephone | 5613469910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
9664 CAMPI DR |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-6997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689123390 | Center for Alcohol and Drug Studies, Inc. | Clinic/Center | 4887 Paetzold, Lake Worth, FL 33461-5530 | 2016-09-23 |
| 1568887545 | Nr Florida Associates LLC | Clinic/Center | 4020 Lake Worth Rd, Lake Worth, FL 33461-3918 | 2014-02-27 |
| 1386074151 | Center for Alcohol and Drug Studies, Inc. | Clinic/Center | 3161 Prince Dr, Lake Worth, FL 33461-5534 | 2013-11-15 |
| 1659707792 | Stay'n Alive, Inc. | Clinic/Center | 5649 Strawberry Lakes Cir, Lake Worth, FL 33463-6516 | 2013-09-20 |
| 1033542667 | L.l.&r.'s Stepping Stones, LLC | Clinic/Center | 4037 Lakewood Rd, Lake Worth, FL 33461-3432 | 2013-08-19 |
| 1063707511 | Total Recovery Now, Inc. | Clinic/Center | 1718 N Federal Hwy, Lake Worth, FL 33460-6643 | 2011-06-13 |
| 1114498565 | Holistix Treatment Centers, LLC | Clinic/Center | 9935 Palomino Dr, Lake Worth, FL 33467-1014 | 2018-12-11 |
| 1932638541 | Pegasus Behavioral Health Inc | Clinic/Center | 9935 Palomino Dr, Lake Worth, FL 33467-1014 | 2017-06-07 |
| 1043751050 | Family Healthcare of Delray, Inc | Clinic/Center | 7100 S Military Trl, Suite 7126, Lake Worth, FL 33463-7812 | 2017-03-10 |
| 1902357221 | Journey To Recovery, LLC | Clinic/Center | 7451 S Military Trl, Lake Worth, FL 33463-7800 | 2016-10-21 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on LEAP INTENSIVE OUTPATIENT SERVICES 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.