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Square One Recovery, LLC

Recovery Care Clinic/Center in Wellington, FL · enumerated 2016 · authorized official Keli Kornmiller, Onboarding Supervisor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578012589

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Square One Recovery, LLC
Practice address 11576 Pierson Rd, Wellington, FL, 33414
Phone (561) 512-9273
Fax (561) 345-6561
Enumeration date Oct 3, 2016
Last updated in NPPES Jan 13, 2017

Taxonomy & classification

261QR0800X Recovery Care Clinic/Center Ambulatory Health Care Facilities · License 5081347114901 (FL) Primary

Authorized official

Name Keli Kornmiller
Title Onboarding Supervisor
Phone (561) 672-8345

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Square One Recovery, LLC?
Square One Recovery, LLC is registered in NPPES as a Recovery Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-01-13.