NEW ROADS FLORIDA LLC (NPI# 1124440375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124440375 |
| Entity Type | Organization |
| Organization Name | NEW ROADS FLORIDA LLC |
| Practice Address |
12 Se 12th St Fort Lauderdale FL 33316-1845 |
| Mailing Address |
230 W Towne Ridge Pkwy Suite 225 Sandy UT 84070-2005 |
| Practice Telephone | 9546352721 |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |
| Authorized Official Name | MATTHEW LUCHINI (ACCOUNT MANAGER) |
| Authorized Official Telephone | 9285334220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
12 SE 12TH ST |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33316-1845 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064040 | Jonathan David Ortiz | Behavior Technician | 1717 Se 4 Ave, Fort Lauderdale, FL 33316 | 2020-05-15 |
| 1306311626 | Gateway Recovery Center, LLC | Counselor | 1421 Sw 4th Avenue, Suite B, Fort Lauderdale, FL 33316 | 2018-10-13 |
| 1588141626 | Natan Bastoky | Family Medicine | 1600 S Andrews Ave # Gme, Fort Lauderdale, FL 33316 | 2018-07-22 |
| 1104320126 | Kathleen Kanani Graham | Pharmacist | 1401 S. Federal Highway, Ft. Lauderdale, FL 33316 | 2018-03-23 |
| 1093224271 | Lacosta Therapy, LLC | Behavioral Analyst | 412 Se 15 St., #4, Ft. Lauderdale, FL 33316 | 2017-09-20 |
| 1124560370 | Yulia Rybalka | Pharmacist | 217 Se 10th Street, Ft Lauderdale, FL 33316 | 2016-11-04 |
| 1730635376 | Brian Alexander Reyes | Specialist/Technologist | 303 Se 3rd Ave, Ft Lauderdale, FL 33316 | 2016-09-01 |
| 1649726282 | Jennifer Tabares | Specialist/Technologist | 303 Southeast 3rd Av, Fort Lauderdale, FL 33316 | 2016-09-01 |
| 1609236850 | Diane Nicole Shilling | Nurse Practitioner | 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 | 2016-03-01 |
| 1396113239 | Victoria Rosado | Adult Companion | 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 | 2015-09-09 |
| Find all providers in zip 33316 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908517 | Caring Hands Wellness Center, Inc | Clinic/Center | 3601 W Commercial Blvd Ste 22, Fort Lauderdale, FL 33309-3320 | 2019-12-09 |
| 1134690167 | Recovery First of Florida, LLC | Clinic/Center | 4549 Sw 54th Ct, Fort Lauderdale, FL 33314-6704 | 2018-12-17 |
| 1427467463 | Victory Recovery House, LLC | Clinic/Center | 508 Sw 11th St, Fort Lauderdale, FL 33315-1234 | 2014-08-04 |
| 1639419146 | Choices Recovery LLC | Clinic/Center | 609 Sw 12th Ct, Fort Lauderdale, FL 33315-1416 | 2013-02-20 |
| 1902960651 | Recovery Institute of Florida, Inc | Clinic/Center | 1080 Se 3rd Ave, Fort Lauderdale, FL 33316-1108 | 2006-12-20 |
| 1235766619 | Road To Recovery Wellness Center, LLC | Clinic/Center | 412 Se 6th Street, Fort Lauderdale, FL 33301 | 2020-03-25 |
| 1164951372 | Recovery First of Florida, LLC | Clinic/Center | 3100 E Commercial Blvd, Fort Lauderdale, FL 33308 | 2017-06-09 |
| 1801336813 | Ocean Sky Wellness, LLC | Clinic/Center | 4001 N Ocean Dr, 101-102, Fort Lauderdale, FL 33308-5968 | 2017-02-24 |
| 1720436793 | Beachcomber Rehabilitation, Inc | Clinic/Center | 1001 W Commercial Blvd, Fort Lauderdale, FL 33309-3107 | 2016-05-31 |
| 1700243300 | The Bougainvilla House, Inc. | Clinic/Center | 1727 Se 4th Ave, Fort Lauderdale, FL 33316-2515 | 2016-01-27 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33316 |
Please comment or provide details below to improve the information on NEW ROADS FLORIDA LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.