Wayside House, Inc.

LBN: Wayside House, Inc.
Wayside House, Inc. is an health care organization with primary practice located at 378 Ne 6Th Ave , Delray Beach FL 33483-5517. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Wayside House, Inc. can be contacted via phone (561) 278-0055, or through Mcwhorter, Lisa via phone (561) 278-0055.

Contact Information

Primary practice address
378 Ne 6Th Ave Delray Beach FL 33483-5517
Fax: (561) 276-6368
Website:
Authorized official contact:
Name: Mcwhorter, Lisa

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 1550AD064401 Florida
Agencies / Community/Behavioral Health 251S00000X 1550AD064401 Florida
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1550AD064401 Florida

Profile Details

NPI number 1780830224
LBN Legal business name Wayside House, Inc.
DBA Doing business as
Authorized official Mcwhorter, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 15th, 2008
Last updated Mar 28th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780830224 NPPES
Florida MEDICAID 103939900

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