IRECOVERY, LLC – NPI #1851964407
Preventive Medicine

A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.

IRECOVERY, LLC is a provider located in FORT PIERCE, FL. NPPES has assigned the NPI number 1851964407 to IRECOVERY, LLC on July 21, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2083A0300X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 5 years ago on Sep 27, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IRECOVERY, LLC below.

NPI Profile for
IRECOVERY, LLC

NPI Number
1851964407
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
IRECOVERY, LLC
Primary location
130 S INDIAN RIVER DR STE 202-6405
FORT PIERCE, FL 34950-4343
Phone: (772) 773-6989 Fax: (561) 464-5501
Mailing address
5030 CHAMPION BLVD STE G11-535
BOCA RATON, FL 33496-2473
Phone: (561) 235-7683 Fax:
Organization Subpart
Yes - IRECOVERY, LLC is subpart of another organization.
Authorized Official
MILDRED CINTRON
CREDENTIALING SPECIALIST
Phone: (561) 235-7683
Updated
Certification Date
Sep 27, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IRECOVERY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL1107100606
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2083A0300X
- Preventive Medicine / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.