REBEL RECOVERY FLORIDA INC
NPI 1912445974
Community/Behavioral Health in West Palm Beach, FL

Active since February 09, 2017CLIA 10D2255724 · Waiver
1893 PRAIRIE RD, WEST PALM BEACH, FL 33406(561) 508-8388 Get Directions Write a Review

NPPES record last updated: February 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rebel Recovery Florida Inc NPPES

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

REBEL RECOVERY FLORIDA INC (NPI 1912445974) is a healthcare organization registered as a community/behavioral health in West Palm Beach, Florida and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through March 16, 2028 and lists Justin Kunzelman, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912445974
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameREBEL RECOVERY FLORIDA INC
Location Address1893 PRAIRIE RDWest Palm Beach, FL 33406-6727
Mailing Address1893 Prairie RdWest Palm Beach, FL 33406-6727 · (561) 508-8388
Organization SubpartNo
Authorized OfficialJustin KunzelmanExecutive Director · (561) 201-0739
Enumeration DateFebruary 9, 2017
NPI 1912445974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
1893 PRAIRIE RD, West Palm Beach, FL 33406

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 10D2255724

Rebel Recovery Florida Inc · West Palm Beach, FL
Active · expires Mar 16, 2028
CLIA Number10D2255724
Laboratory TypeSyring Service Program
Certificate Effective DateMarch 17, 2026
Certificate Expiration DateMarch 16, 2028
Laboratory DirectorHansel Emory Tookes
Laboratory Phone(561) 508-8388
Laboratory LocationRebel Recovery Florida Inc400 N Congress Ave - Ste 130, West Palm Beach, FL 33401
CLIA data matches this NPI record on: Name Phone
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 Rebel Recovery Florida Inc's NPI number?

The NPI number for Rebel Recovery Florida Inc is 1912445974. It was assigned to this organization in the NPPES registry on February 9, 2017.

Where is Rebel Recovery Florida Inc located?

Rebel Recovery Florida Inc is located at 1893 Prairie Rd, West Palm Beach, FL 33406. The listed phone number is (561) 508-8388.

What is Rebel Recovery Florida Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does Rebel Recovery Florida Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2255724) is associated with this NPI, valid through March 16, 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 Rebel Recovery Florida Inc was last updated on February 9, 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.