THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
NPI 1164907366
Psychiatric Residential Treatment Facility in Lake Worth, FL
NPI Status: Active since October 03, 2018
Contact Information
4905 LANTANA RD
LAKE WORTH, FL
ZIP 33463
Phone: (754) 300-3120
Fax: (888) 919-4431
- Organization
- Psychiatric Residential Treatment Facili...
- Accepts Insurance
- CLIA Number: 10D2167141
- CLIA Cert. Type: Other - RESIDENTIAL TREATMENT FAC
- CLIA Exp. Date: 06-02-2027
About THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
This page provides the complete NPI Profile along with additional information for The Treatment Center By The Recovery Village, Llc, a provider established in Lake Worth, Florida operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1164907366 assigned on October 2018. The practitioner's primary taxonomy code is 323P00000X. The provider is registered as an organization and their NPI record was last updated April 2025. The provider's
- NPI
- 1164907366
- Provider Legal Name
- THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4905 LANTANA RD LAKE WORTH, FL 33463
- Location Phone
- (754) 300-3120
- Location Fax
- (888) 919-4431
- Mailing Address
- 100 SE 3RD AVENUE SUITE 1800 FT. LAUDERDALE, FL 33394
- Mailing Phone
- (754) 300-3120
- Mailing Fax
- (888) 919-4431
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2018
- Last Update Date
- 04-28-2025
- Code Navigator
Location Map
Secondary Locations
- 8750 SW 144th St Ste 207
Palmetto Bay, FL 33176
(305) 785-5520
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatric Residential Treatment Facility
- Taxonomy Code
- 323P00000X
- Type
- Residential Treatment Facilities
- Taxonomy Description
- A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | |
| 2 | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
- Connect Bronze 0 Indiv Med Deductible - EPO
- Connect Bronze 5500 Indiv Med Deductible - EPO
- Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
- Connect Bronze CMS Standard - EPO
- Connect Gold 2000 Indiv Med Deductible - EPO
- Connect Gold 800 Indiv Med Deductible - EPO
- Connect Gold CMS Standard - EPO
- Connect Silver 3600 Indiv Med Deductible - EPO
- Connect Silver 4300 Indiv Med Deductible - EPO
- Connect Silver CMS Standard - EPO
- BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
- BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
- BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
- BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
- BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
- BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
- BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
- BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
- BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
- BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
- BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
- BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
- BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
- BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
- BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
- BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO
- BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
- BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
- BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
- BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
- BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
- BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
- BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
- BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
- BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
- BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
- BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D2167141
- Facility Type
- Other - RESIDENTIAL TREATMENT FAC
- Certificate Effective Date
- June 03, 2025
- Certificate Expiration Date
- June 02, 2027
- Laboratory Director
- JENNYFFER U. MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Treatment Center By The Recovery Village, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 9 | 0 | 7 | 3 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 18 | 0 | 14 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 1 + 8 + 0 + 1 + 4 + 3 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1164907366 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912145525 | THE TREATMENT CENTER OF THE PALM BEACHES Organization | Substance Abuse Rehabilitation Facility | 4905 LANTANA RD LAKE WORTH, FL 33463 (954) 587-7771 |
| 1073748695 | PHYSICIANS MEDICAL ASSOCIATES, LLC Organization | Psychologist (Group Psychotherapy) | 4905 LANTANA RD LAKE WORTH, FL 33463 (954) 587-7771 |
| 1629389135 | MS. WANDA FE BARBELLA LMHC Individual | Counselor (Mental Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 253-6790 |
| 1063724201 | MRS. NUBIA ESPERANZA COFFMAN LMT, FB Individual | Massage Therapist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 253-6794 |
| 1467764266 | GARY TONG Organization | Substance Abuse Rehabilitation Facility | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 715-9993 |
| 1295031227 | THE TAJ MEMORIAL HEALTH CENTER Organization | Substance Abuse Rehabilitation Facility | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 253-6790 |
| 1952607848 | PHILIP K DVORAK II L.M.H.C Individual | Counselor (Mental Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 253-6790 |
| 1770881468 | MRS. PETRA JONES LMT Individual | Massage Therapist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 385-1784 |
| 1134419195 | THE TREATMENT CENTER OF THE PALM BEACHES Organization | Substance Abuse Rehabilitation Facility | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 253-6790 |
| 1154673143 | MS. ANGELA ELIZABETH KAMINSKI LMHC Individual | Counselor (Mental Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 214-9551 |
| 1336482983 | MRS. ELKE E KAPPNER Individual | Specialist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 214-9209 |
| 1780025320 | MS. PATRICIA ANN RISHER Individual | Counselor | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 214-9569 |
| 1598103202 | DR. GENEVIEVE SPIEGEL PSYD Individual | Psychologist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 214-9194 |
| 1679923338 | KARROL-JO LEE FOSTER LMHC, CAP, ACRPS Individual | Counselor (Professional) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 504-8362 |
| 1740563667 | KLAUDIA KURTI Individual | Massage Therapist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 340-7259 |
| 1083926885 | GARY TONG LMT Individual | Massage Therapist | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 715-9993 |
| 1568538718 | EIJA TOIVONEN WOOD NPRN Individual | Nurse Practitioner (Adult Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (888) 991-4395 |
| 1811527880 | SHAKIEMA S.F. RAPHAEL Individual | Counselor (Mental Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 790-8072 |
| 1700947207 | GOLDEN PALMS OF PALM BEACH Organization | Assisted Living Facility | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 641-0126 |
| 1366005787 | JOY ADLE LMHC Individual | Counselor (Mental Health) | 4905 LANTANA RD LAKE WORTH, FL 33463 (561) 790-8072 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164907366, enumerated in the NPI registry as an "organization" on October 03, 2018
The provider is located at 4905 Lantana Rd Lake Worth, Fl 33463 and the phone number is (754) 300-3120
This medical organization specializes in Psychiatric Residential Treatment Facility with taxonomy code 323P00000X
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Florida Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2167141 for a "other - residential treatment fac" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 03, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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