BANYAN GULF BREEZE LLC – NPI #1033899372
Substance Abuse Rehabilitation Facility
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.
BANYAN GULF BREEZE LLC is a substance abuse rehabilitation facility located in GULF BREEZE, FL. NPPES has assigned the NPI number 1033899372 to BANYAN GULF BREEZE LLC on July 21, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.
The NPI profile was last updated on May 13, 2025. 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 BANYAN GULF BREEZE LLC below.
NPI Profile for
BANYAN GULF BREEZE LLC
(about 3 years ago)
GULF BREEZE, FL 32563-9111 Phone: (954) 533-7705 Fax: (754) 206-8522
POMPANO BEACH, FL 33062-4319 Phone: Fax: (954) 781-7173
CEO
Phone: (954) 533-7705
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 for BANYAN GULF BREEZE 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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | FL | 122548100 |
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 |
|---|---|---|
| 324500000X - Substance Abuse Rehabilitation Facility (Primary) |
||
| 283Q00000X - Psychiatric Hospital |
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.