PROACTIVE RECOVERY CENTER, LLC (NPI# 1902252760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902252760 |
| Entity Type | Organization |
| Organization Name | PROACTIVE RECOVERY CENTER, LLC |
| Practice Address |
500 Gulfstream Blvd Suite 105 Delray Beach FL 33483-6144 |
| Practice Telephone | 9546095638 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811390867 | Proactive Recovery Center, LLC | Clinic/Center | 500 Gulfstream Blvd Ste 105, Delray Beach, FL 33483-6142 | 2014-10-06 |
| Street Address |
500 GULFSTREAM BLVD SUITE 105 |
| City | DELRAY BEACH |
| State | FL |
| Zip Code | 33483-6144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164759742 | Jessica Erin Granata | Nurse Practitioner | 500 Gulfstream Blvd, Suite 110, Delray Beach, FL 33483-6144 | 2009-11-03 |
| 1659729259 | Aion Recovery Center | Clinic/Center | 500 Gulfstream Blvd, Suite 201, Delray Beach, FL 33483-6144 | 2016-05-25 |
| 1740661644 | Aion Health LLC | Psychiatry & Neurology | 500 Gulfstream Blvd, Suite 110, Delray Beach, FL 33483-6144 | 2015-06-16 |
| 1467840215 | Liza Weiss | Psychologist | 500 Gulfstream Blvd, Suite 107, Delray Beach, FL 33483-6144 | 2015-01-02 |
| 1518361708 | Aion Recovery Center | Clinic/Center | 500 Gulfstream Blvd, Suite 107, Delray Beach, FL 33483-6142 | 2014-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1790270254 | Erika Elizabeth Gottlieb | Physician Assistant | 2645 N Federal Hwy Ste 100, Delray Beach, FL 33483 | 2018-06-27 |
| 1023525474 | Amber Diamond Miller | Behavior Technician | 1730 South Federal Highway, 268, Delray Beach, FL 33483 | 2018-01-08 |
| 1205343027 | Alisha Wendy Singh | Counselor | 500 Ne Federal Highway, Delray Beach, FL 33483 | 2018-01-02 |
| 1932620978 | Allison Larue | Optometrist | 954 Kokomo Key Lane, Delray Beach, FL 33483 | 2017-06-29 |
| 1164804977 | Body Mind Spirit Therapy Center | Marriage & Family Therapist | 1045 East Atlantic Avenue, Suite 205, Delray Beach, FL 33483 | 2015-06-29 |
| 1699174623 | Valentina Baez | Dentist | 160 Se 6th Ave # B1, Delray Beach, FL 33483 | 2014-08-14 |
| 1558632117 | Patricia L Thomas Shutt Psyd LLC | Psychologist | 120 Se 4th Avenue, Delray Beach, FL 33483 | 2012-01-13 |
| 1003149352 | Real Solutions Home Health Care, Inc | Home Health | 500 Gulfstream Blvd., Suite #103-a, Delray Beach, FL 33483 | 2009-09-17 |
| 1184859886 | Joanne F. Smith | Speech-Language Pathologist | 55 Tropic Isle Dr., #36, Delray Beach, FL 33483 | 2009-05-26 |
| Find all providers in zip 33483 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700249604 | Pride Recovery Center LLC | Clinic/Center | 2206 W Atlantic Ave. Suite 203, Delray Beach, FL 33445 | 2016-03-30 |
| 1275990947 | Achieve Behavioral Healthcare | Clinic/Center | 1200 Nw 17th Ave. Suite 6, Delray Beach, FL 33445 | 2016-01-26 |
| 1013387588 | Harmony Outpatient Center, LLC | Clinic/Center | 1300 Nw 17th Ave Ste 160, Delray Beach, FL 33445-2554 | 2015-09-28 |
| 1992172340 | Light of The World Rehabilitation & Recovery Services LLC | Clinic/Center | 2100 Lake Ida Rd Ste 2, Delray Beach, FL 33445-2442 | 2015-09-01 |
| 1821473307 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Suite 101, Delray Beach, FL 33444-2511 | 2015-07-24 |
| 1811390867 | Proactive Recovery Center, LLC | Clinic/Center | 500 Gulfstream Blvd Ste 105, Delray Beach, FL 33483-6142 | 2014-10-06 |
| 1588065965 | Achieve Behavioral Healthcare LLC | Clinic/Center | 1200 Nw 17th Avenue, Suite 6, Delray Beach, FL 33445 | 2014-09-04 |
| 1174864839 | Florida Recovery Group LLC | Clinic/Center | 1300 Nw 17th Ave Ste 112, Delray Beach, FL 33445-2554 | 2013-03-06 |
| 1912259177 | Metro Urine Screening, Inc | Clinic/Center | 701 S Swinton Ave, Delray Beach, FL 33444-2377 | 2012-10-11 |
| 1508114976 | Seastone of Delray LLC | Clinic/Center | 810 Andrews Ave, Delray Beach, FL 33483-7220 | 2012-08-16 |
| Find all providers in DELRAY BEACH | ||||
| City | DELRAY BEACH |
| Zip Code | 33483 |
Please comment or provide details below to improve the information on PROACTIVE RECOVERY CENTER, 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.