FOUNDATIONS TO HEALING
NPI 1104653575
Clinic/Center - Rehabilitation, Substance Use Disorder in Deland, FL
About Foundations To Healing NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FOUNDATIONS TO HEALING (NPI 1104653575) is a healthcare organization registered as a rehabilitation, substance use disorder in Deland, Florida and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Katherine Russell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2343057
Foundations To Healing Inc · Deland, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Foundations To Healing's NPI number?
The NPI number for Foundations To Healing is 1104653575. It was assigned to this organization in the NPPES registry on September 18, 2024.
Where is Foundations To Healing located?
Foundations To Healing is located at 838 E New York Ave, Deland, FL 32724. The listed phone number is (386) 748-6097.
What is Foundations To Healing's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Foundations To Healing hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2343057) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Foundations To Healing was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Foundations To Healing · NPI 1104653575
Rehabilitation, Substance Use Disorder organization in Deland, Florida. Organization record, active in the CMS NPPES registry since September 18, 2024.
## Identity
- **NPI:** 1104653575 (Entity type: Organization)
- **Enumerated:** September 18, 2024
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Also known as:** Foundations to Healing (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Katherine Russell, PRESIDENT
## Practice location
- **Address:** 838 E NEW YORK AVE, Deland, FL 32724-5662
- **Phone:** (386) 748-6097
## Record status
- **NPPES last updated:** September 18, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104653575) · Data from the CMS NPPES public registry.