5PALMS – NPI #1457898744
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.

5PALMS is a substance abuse rehabilitation facility located in ORMOND BEACH, FL. NPPES has assigned the NPI number 1457898744 to 5PALMS on January 24, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “5PALMS” is a dba name, the actual legal business name for this organization is PHPTS OF ORMOND BEACH, LLC. 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 previously updated about 4 years ago on Mar 07, 2022. 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 5PALMS below.

NPI Profile for
PHPTS OF ORMOND BEACH, LLC

NPI Number
1457898744
Enumeration Date

(more than 9 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
PHPTS OF ORMOND BEACH, LLC
Doing Business As (dba): 5PALMS
Primary location
515 TOMOKA AVE
ORMOND BEACH, FL 32174-6133
Phone: (281) 506-0831 Fax:
1 Other location(s):
1200 W Granada Blvd Ste 1
Ormond Beach, FL 32174-8157
Phone: (386) 506-8110
Fax: (386) 463-2170
Mailing address
PO BOX 207983
DALLAS, TX 75320-7983
Phone: (281) 506-0831 Fax:
Organization Subpart
No
Authorized Official
SCOTT SASSERSON
CHIEF EXECUTIVE OFFICER
Phone: (931) 994-8001
Updated
Certification Date
Mar 07, 2022

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.

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)
323P00000X
- Psychiatric Residential Treatment Facility

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.