ARCHSTONE RECOVERY CENTER NPI 1053389452

NPI Information

NPI: 1053389452
Provider Name: ARCHSTONE RECOVERY CENTER

Former Legal Business Name: RENAISSANCE RECOVERY CENTER INC

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

Address:
501 W PERRY ST
LANTANA, FL
ZIP 33462
Phone: (561) 588-8323
Get Directions

ARCHSTONE RECOVERY CENTER is a substance abuse rehabilitation facility in Lantana, FL. The provider is 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. ARCHSTONE RECOVERY CENTER NPI is 1053389452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Renaissance Recovery Center Inc.

The provider's business location address is:

501 W PERRY ST
LANTANA, FL
ZIP 33462-547
Phone: (561) 588-8323
Fax: (561) 275-7998

The provider's authorized official is John Offidani .
The authorized official title is Owner and has the following contact phone number (561) 588-8323.

The CLIA number assigned to this NPI record is 10D2298493 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/10/2006 and was last updated on 9/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	ME55561	FLORIDA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0950ADA666	FLORIDA	No
3	101YM0800X	Counselor	Mental Health	MH9732	FLORIDA	No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		FLORIDA	No
5	208D00000X	General Practice		OS8387	FLORIDA	No
6	291U00000X	Clinical Medical Laboratory		10D2039250	FLORIDA	No
7	324500000X	Substance Abuse Rehabilitation Facility			FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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