1. Home
  2. Directory
  3. Florida
  4. Cocoa
  5. Rehabilitation Substance Use Disorder Unit
  6. NPI Profile

PREMIERE ADDICTION RECOVERY, LLC
NPI 1669039061
Rehabilitation, Substance Use Disorder Unit in Cocoa, FL

Active since May 22, 2019CLIA 10D2206957 · Waiver
225 N BURNETT RD, COCOA, FL 32926(561) 722-8055 Get Directions Write a Review

NPPES record last updated: November 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2024, May 9, 2024, May 22, 2019 (3 updates tracked since 2019).

About Premiere Addiction Recovery, Llc NPPES

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

PREMIERE ADDICTION RECOVERY, LLC (NPI 1669039061) is a healthcare organization registered as a rehabilitation, substance use disorder unit in Cocoa, Florida and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Moses Friedman, Owner, as its authorized official.

NPPES Registry Identity

NPI1669039061
Entity TypeOrganization
Primary Taxonomy276400000X
Legal Business NamePREMIERE ADDICTION RECOVERY, LLC
Location Address225 N BURNETT RDCocoa, FL 32926-4242
Mailing Address51 Forest Rd, 316/338Monroe, NY 10950-2948 · (213) 280-2663
Phone(561) 722-8055
Organization SubpartNo
Authorized OfficialMoses FriedmanOwner · (718) 974-8554
Enumeration DateMay 22, 2019
Last NPPES UpdateNovember 10, 20243 updates tracked since enumeration
NPPES CertifiedNovember 10, 2024
✔ NPI 1669039061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation, Substance Use Disorder UnitHospital Units
Taxonomy Code276400000X
Definition
A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
225 N BURNETT RD, Cocoa, FL 32926
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans.Insurance ›

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 10D2206957

Premiere Addiction Recovery · Cocoa, FL
Active · expires Dec 22, 2026
CLIA Number10D2206957
Laboratory TypeSubstance Abuse Treatment
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorFrancis H. Slocum III
Laboratory Phone(321) 328-0266
Laboratory LocationPremiere Addiction Recovery225 N Burnett Rd, Cocoa, FL 32926
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

QHDS LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
225 N BURNETT RD
COCOA, FL 32926
Brevard County (561) 722-8055
JEANNINE DOYLE MPC
Counselor (Mental Health)
225 N BURNETT RD
COCOA, FL 32926
Brevard County (321) 504-2050

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 Premiere Addiction Recovery, LLC's NPI number?

The NPI number for Premiere Addiction Recovery, LLC is 1669039061. It was assigned to this organization in the NPPES registry on May 22, 2019.

Where is Premiere Addiction Recovery, LLC located?

Premiere Addiction Recovery, LLC is located at 225 N Burnett Rd, Cocoa, FL 32926. The listed phone number is (561) 722-8055.

What is Premiere Addiction Recovery, LLC's specialty?

The primary specialty registered for this NPI is Rehabilitation, Substance Use Disorder Unit with taxonomy code 276400000X.

Does Premiere Addiction Recovery, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2206957) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Premiere Addiction Recovery, LLC accept?

Health plans from Florida Health Care Plans list Premiere Addiction Recovery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premiere Addiction Recovery, LLC was last updated on November 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.