THE RECOVERY VILLAGE – NPI #1265856017
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.

THE RECOVERY VILLAGE is a substance abuse rehabilitation facility located in UMATILLA, FL. NPPES has assigned the NPI number 1265856017 to THE RECOVERY VILLAGE on February 14, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 previously updated about 11 years ago on May 06, 2015. 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 THE RECOVERY VILLAGE below.

NPI Profile for
THE RECOVERY VILLAGE

NPI Number
1265856017
Enumeration Date

(more than 12 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
THE RECOVERY VILLAGE
Primary location
633 UMATILLA BLVD.
THE RECOVERY VILLAGE
UMATILLA, FL 32784
Phone: (352) 669-8000 Fax:
Mailing address
100 SE THIRD AVE
SUITE 1102
FT. LAUDERDALE, FL 33394
Phone: (754) 300-3120 Fax:
Organization Subpart
No
Authorized Official
SAMUEL KELLEY
CHIEF MEDICAL OFFICER
Phone: (754) 300-3120
Updated
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
324500000X
- Substance Abuse Rehabilitation Facility (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.