EPIPHANY WELLNESS MASSACHUSETTS LLC – NPI #1679302517
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

EPIPHANY WELLNESS MASSACHUSETTS LLC is a substance abuse rehabilitation facility located in SOUTHBOROUGH, MA. NPPES has assigned the NPI number 1679302517 to EPIPHANY WELLNESS MASSACHUSETTS LLC on July 30, 2024. 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.

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 EPIPHANY WELLNESS MASSACHUSETTS LLC below.

NPI Profile for
EPIPHANY WELLNESS MASSACHUSETTS LLC

NPI Number
1679302517
Enumeration Date

(about 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
EPIPHANY WELLNESS MASSACHUSETTS LLC
Primary location
257 TURNPIKE RD STE 200
SOUTHBOROUGH, MA 01772-1791
Phone: (848) 221-0297 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PATRICK DENGLEGI
VICE PRESIDENT
Phone: (848) 221-0297
Updated
Certification Date
Jul 30, 2024

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)
261QM0850X
- Clinic/Center / Adult Mental Health

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.