SQUARE ONE RECOVERY, LLC
NPI 1578012589
Clinic/Center - Recovery Care in Wellington, FL

Active since October 03, 2016
11576 PIERSON RD, WELLINGTON, FL 33414(561) 512-9273(561) 345-6561 Get Directions Write a Review

NPPES record last updated: January 13, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Square One Recovery, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SQUARE ONE RECOVERY, LLC (NPI 1578012589) is a healthcare organization registered as a recovery care in Wellington, Florida and active in the NPI registry since October 2016. The organization lists Keli Kornmiller, Onboarding Supervisor, as its authorized official.

NPPES Registry Identity

NPI1578012589
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameSQUARE ONE RECOVERY, LLC
Location Address11576 PIERSON RDWellington, FL 33414-8767
Mailing Address11576 Pierson RdWellington, FL 33414-8767 · (561) 512-9273 · Fax (561) 345-6561
Fax(561) 345-6561
Organization SubpartNo
Authorized OfficialKeli KornmillerOnboarding Supervisor · (561) 672-8345
Enumeration DateOctober 3, 2016
Last NPPES UpdateJanuary 13, 2017
NPI 1578012589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
License Licensed in FL · 5081347114901
11576 PIERSON RD, Wellington, FL 33414

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
11576 PIERSON RD, SUITE K4
WELLINGTON, FL 33414
Substance Abuse Rehabilitation Facility
11576 PIERSON RD
WELLINGTON, FL 33414
Substance Abuse Rehabilitation Facility
11576 PIERSON RD, SUITE K4
WELLINGTON, FL 33414
Substance Abuse Rehabilitation Facility
11576 PIERSON RD, UNIT K5
WELLINGTON, FL 33414
Chiropractor
11576 PIERSON RD, SUITE K3
WELLINGTON, FL 33414

Frequently 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 Square One Recovery, LLC's NPI number?

The NPI number for Square One Recovery, LLC is 1578012589. It was assigned to this organization in the NPPES registry on October 3, 2016.

Where is Square One Recovery, LLC located?

Square One Recovery, LLC is located at 11576 Pierson Rd, Wellington, FL 33414. The listed phone number is (561) 512-9273.

What is Square One Recovery, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

When was this NPI record last updated?

The NPPES record for Square One Recovery, LLC was last updated on January 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.