MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX – NPI #1497533343
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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX is a substance abuse rehabilitation facility located in WEST PALM BEACH, FL. NPPES has assigned the NPI number 1497533343 to MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX on September 20, 2023. 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 3 years ago on Sep 22, 2023. 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 MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX below.

NPI Profile for
MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX

NPI Number
1497533343
Enumeration Date

(more than 2 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
MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX
Primary location
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407-6040
Phone: (561) 578-8585 Fax: (561) 429-6690
Mailing address
222 PICADILLY ST
WEST PALM BCH, FL 33407-6017
Phone: (561) 578-8600 Fax: (561) 578-8601
Organization Subpart
No
Authorized Official
DANESH ALAM
CEO
Phone: (630) 390-0042
Updated
Certification Date
Sep 22, 2023

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)

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.