Unknown Individual – Substance Abuse Rehabilitation Facility, NPI 1881102754

Unknown Individual is a healthcare provider. based in Bonifay, Florida. specializing in Substance Abuse Rehabilitation Facility. The NPI Number for Unknown Individual is 1881102754

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1881102754
Phone
(561) 573-4961
Address
401 E BYRD AVE
Deactivation Date
4 December 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 401, East Byrd Avenue, Bonifay, Holmes County, Florida, 32425, United States

    BONIFAY, FL 324253007

    Phone: (561) 573-4961

    Fax: (561) 573-4961

    Type: Location

  • 1005, Waverly Road, Tallahassee, Leon County, Florida, 32312, United States

    TALLAHASSEE, FL 323122850

    Phone: (561) 573-4961

    Type: Mailing

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 32425)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1881102754.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Substance Abuse Rehabilitation Facility. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bonifay, Florida in registry-derived data.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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