INTREPID DETOX RESIDENTIAL LLC – Substance Abuse Rehabilitation Facility, NPI 1275176497

INTREPID DETOX RESIDENTIAL LLC is a healthcare provider. based in Mangonia park, Florida. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for INTREPID DETOX RESIDENTIAL LLC is 1275176497

Main info

Organization
Name
INTREPID DETOX RESIDENTIAL LLC
NPI
1275176497
Phone
Not provided
Address
1120 48TH ST
Authorized Official
JOHN NASH OWNER
Enumeration Date
21 October 2019
Last Update Date
11 February 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

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Provider Addresses for INTREPID DETOX RESIDENTIAL LLC

  • 1120, 48th Street, Mangonia Park, Palm Beach County, Florida, 33407, United States

    MANGONIA PARK, FL 334072302

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33407)

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Reviews

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Frequently asked questions

Does INTREPID DETOX RESIDENTIAL LLC have a public NPI I can cite?
Public records show INTREPID DETOX RESIDENTIAL LLC under NPI 1275176497.
Should I treat INTREPID DETOX RESIDENTIAL LLC as an active provider?
Patients and plans typically see INTREPID DETOX RESIDENTIAL LLC as active in the national extract.
Which specialty label fits INTREPID DETOX RESIDENTIAL LLC?
NPPES ties INTREPID DETOX RESIDENTIAL LLC to Substance Abuse Rehabilitation Facility in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is INTREPID DETOX RESIDENTIAL LLC tied to Mangonia Park, Florida?
If you are local to Mangonia Park, Florida, INTREPID DETOX RESIDENTIAL LLC may be relevant to your search.
Who maintains INTREPID DETOX RESIDENTIAL LLC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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