TAMARAC DETOX, LLC – Psychiatric Residential Treatment Facility, NPI 1538737291

TAMARAC DETOX, LLC is a healthcare provider. based in Deerfield beach, Florida. specializing in Psychiatric Residential Treatment Facility. The NPI Number for TAMARAC DETOX, LLC is 1538737291

Main info

Organization
Name
TAMARAC DETOX, LLC
NPI
1538737291
Phone
Not provided
Address
1701 GREEN RD STE C
Authorized Official
ALEXANDRA KORORTKEVICH EXEC
Enumeration Date
17 June 2021
Last Update Date
21 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for TAMARAC DETOX, LLC

  • 1701 GREEN RD STE C

    DEERFIELD BEACH, FL 330641074

    Phone:

    Type: Mailing

  • 8290 N UNIVERSITY DR

    TAMARAC, FL 333211710

    Phone: (855) 460-0139

    Type: Location

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.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 33064)

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Reviews

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Frequently asked questions

How is TAMARAC DETOX, LLC identified in CMS data?
CMS-hosted NPPES data lists TAMARAC DETOX, LLC with NPI 1538737291.
Does CMS list TAMARAC DETOX, LLC as active?
Yes — TAMARAC DETOX, LLC is active in the NPI listing used on this page.
What taxonomy line describes TAMARAC DETOX, LLC?
For research purposes, treat TAMARAC DETOX, LLC as Psychiatric Residential Treatment Facility in this dataset. Clinical services aligned with this taxonomy classification.
Does TAMARAC DETOX, LLC list a practice location?
Patients near Deerfield Beach, Florida may find TAMARAC DETOX, LLC in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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