BOCA RI LLC NPI 1932631827

NPI Information

  • NPI: 1932631827
  • Provider Name: BOCA RI LLC
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: BANYAN BOCA
  • CLIA Number: 10D2126068
  • Address: 1000 NW 15TH ST
    BOCA RATON, FL
    ZIP 33486
  • Phone: (888) 879-4975

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NPI Details

BOCA RI LLC is a substance abuse rehabilitation facility in Boca Raton, 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. BOCA RI LLC NPI is 1932631827. The provider is registered as an organization entity type.
The provider Is Doing Business As Banyan Boca.

The provider's business location address is:

1000 NW 15TH ST
BOCA RATON, FL
ZIP 33486
Phone: (888) 879-4975
Fax: (954) 781-7173

The provider's authorized official is Kelvin Williams .
The authorized official title is Contracting Lead and has the following contact phone number (954) 533-7705.

The CLIA number assigned to this NPI record is 10D2126068 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2017 and was last updated on 8/2/2024.

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
1283Q00000XPsychiatric HospitalNo
2323P00000XPsychiatric Residential Treatment Facility8678FLORIDANo
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 3/30/2025

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