Provider Demographics
NPI:1932739802
Name:STANDARD OF CARE LLC
Entity Type:Organization
Organization Name:STANDARD OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:EVERETT
Authorized Official - Last Name:GAINES
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:561-352-1587
Mailing Address - Street 1:721 US HIGHWAY 1 STE 114-115
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4512
Mailing Address - Country:US
Mailing Address - Phone:561-247-7952
Mailing Address - Fax:800-863-1777
Practice Address - Street 1:721 US HIGHWAY 1 STE 114-115
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4512
Practice Address - Country:US
Practice Address - Phone:561-247-7952
Practice Address - Fax:800-863-1777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-20
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder