OrganizationActive
Premiere Addiction Recovery, LLC
NPI 1669039061 · Substance Use Disorder Rehabilitation Hospital Unit · Cocoa, FL
Provider details
- NPI number
- 1669039061
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Organization subpart
- No
- Authorized official
- Moses Friedman, Owner(718) 974-8554
Specialties & taxonomies
Hospital Units
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
225 N Burnett Rd
Cocoa, FL 32926-4242
Phone: (561) 722-8055
Street-level locationGet directions
Mailing address
51 Forest Rd
Monroe, NY 10950-2948
Registry dates
- Enumerated
- 2019-05-22
- Last updated
- 2024-11-10
- Certified
- 2024-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.