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INTREPID HOLISTIC HEALTH SERVICES LLC
NPI 1629793393
Substance Abuse Rehabilitation Facility in Lake Worth, FL

Active since October 05, 2022CLIA 10D2273026 · Waiver
318 S DIXIE HWY STE 4, LAKE WORTH, FL 33460(561) 782-6663 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2023, Oct 7, 2022 (2 updates tracked since 2022).

About Intrepid Holistic Health Services Llc NPPES

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

INTREPID HOLISTIC HEALTH SERVICES LLC (NPI 1629793393) is a healthcare organization registered as a substance abuse rehabilitation facility in Lake Worth, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through December 5, 2026 and lists John Nash Pakel, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629793393
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameINTREPID HOLISTIC HEALTH SERVICES LLC
Location Address318 S DIXIE HWY STE 4Lake Worth, FL 33460-4452
Mailing Address1926 10th Ave N Ste 420Lake Worth Beach, FL 33461-3369 · (516) 512-2481
Phone(561) 782-6663
Organization SubpartNo
Authorized OfficialJohn Nash PakelCeo · (561) 782-6663
Enumeration DateOctober 5, 2022
Last NPPES UpdateMay 2, 20232 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1629793393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
318 S DIXIE HWY STE 4, Lake Worth, FL 33460
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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 10D2273026

Intrepid Holistic Health Services LLC · Lake Worth, FL
Active · expires Dec 5, 2026
CLIA Number10D2273026
Laboratory TypeDay/Night Comm Hsg.
Certificate Effective DateDecember 6, 2024
Certificate Expiration DateDecember 5, 2026
Laboratory DirectorJohn Pakel
Laboratory Phone(646) 645-7773
Laboratory LocationIntrepid Holistic Health Services LLC318 S Dixie Hwy - Suites 4-7, Lake Worth, FL 33460
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Intrepid Holistic Health Services LLC's NPI number?

The NPI number for Intrepid Holistic Health Services LLC is 1629793393. It was assigned to this organization in the NPPES registry on October 5, 2022.

Where is Intrepid Holistic Health Services LLC located?

Intrepid Holistic Health Services LLC is located at 318 S Dixie Hwy Ste 4, Lake Worth, FL 33460. The listed phone number is (561) 782-6663.

What is Intrepid Holistic Health Services LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Intrepid Holistic Health Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2273026) is associated with this NPI, valid through December 5, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Intrepid Holistic Health Services LLC was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.