RECOVERY VILLAGE (NPI# 1174056527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174056527 |
| Entity Type | Organization |
| Organization Name | RECOVERY VILLAGE |
| Practice Address |
5994 Nw 74th St Parkland FL 33067-2451 |
| Practice Telephone | 3059925119 |
| Mailing Telephone | 3059925119 |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | ROD MACK (OWNER) |
| Authorized Official Telephone | 3059925119 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Recovery Village at Palmer Lake, LLC | 100 Se 3rd Ave Ste 1800, Fort Lauderdale, FL 33394 |
| Oregon Corporations, Companies and Business Names | RECOVERY VILLAGE HOUSING LLC | 17002 Se Bush St, Portland, OR 97236 |
| Street Address |
5994 NW 74TH ST |
| City | PARKLAND |
| State | FL |
| Zip Code | 33067-2451 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306487822 | Amy Caplan Demner | Counselor | 5571 University Drive, Suite 101, Coral Springs, FL 33067 | 2019-10-06 |
| 1548825508 | Stacie Boyar | Counselor | 5941 N University Drive, Coral Springs, FL 33067 | 2019-05-06 |
| 1356818587 | National Vision Inc | Technician/Technologist | 6357 West Sample Road, Coral Springs, FL 33067 | 2018-10-25 |
| 1316423544 | R & S Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 7551 Wiles Road, 103, Coral Springs, FL 33067 | 2018-07-11 |
| 1740787068 | Cleveland Clinic Florida (a Nonprofit Corporation) | Clinic/Center | 5701 North University Drive, Coral Springs, FL 33067 | 2018-04-12 |
| 1922500966 | South Florida Spinal Neurosurgery Associates LLC | Neurological Surgery | 5280 West Sample Road, Suite 203, Coral Springs, FL 33067 | 2018-03-06 |
| 1518481829 | Alissa Diaz | Pharmacist | 8360 Nw 51st Ct, Coral Springs, FL 33067 | 2017-07-28 |
| 1396267100 | Coral Springs Modern Dentistry, Pa | Dentist | 5810 Wiles Rd, Coral Springs, FL 33067 | 2017-07-13 |
| 1528595766 | Farahnaz Abdoly | Optometrist | 6357 W Sample Rd, Coral Springs, FL 33067 | 2017-05-18 |
| 1164894903 | Mar Christian Amoroso Panambo | Physical Therapist | 5900 West Sample Rd, 304, Coral Springs, FL 33067 | 2015-10-20 |
| Find all providers in zip 33067 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222026 | Sequel Tsi of Florida, LLC | Substance Abuse Rehabilitation Facility | 9680 Fairground Rd, West Palm Beach, FL 33411-3528 | 2016-09-01 |
| 1619371531 | Carolina Botero | Substance Abuse Rehabilitation Facility | 169 E Flagler St Suite 1300, Miami, FL 33131 | 2014-10-21 |
| 1497166292 | Saved By Grace | Substance Abuse Rehabilitation Facility | 245 S Swinton Ave, Delray Beach, FL 33444-3657 | 2014-05-14 |
| 1346680733 | Singer Island Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 4400 N Congress Ave, Suite 101, West Palm Beach, FL 33407 | 2013-06-28 |
| 1326485475 | Shores Treatment and Recovery Service LLC | Substance Abuse Rehabilitation Facility | 8493 S Us Highway 1, Unit 14, Port St Lucie, FL 34952-3360 | 2013-05-30 |
| 1740572239 | Medi-bill Plus Inc. | Substance Abuse Rehabilitation Facility | 2040 Nw 28th St, Oakland Park, FL 33311-2116 | 2011-05-03 |
| 1265751762 | St Johns Youth Academy | Substance Abuse Rehabilitation Facility | 4500 Avenue D, St Augustine, FL 32095-5245 | 2010-05-24 |
| 1336478304 | Sequel Tsi of Florida, LLC Marion Program | Substance Abuse Rehabilitation Facility | 10420 Nw Gainesville Rd, Ocala, FL 34482-1446 | 2009-12-21 |
| 1912235870 | Sequel Tsi of Florida, LLC Union Program | Substance Abuse Rehabilitation Facility | 14692 Ne County Road 199, Raiford, FL 32083-2519 | 2009-12-03 |
| 1609034909 | G4s Youth Services | Substance Abuse Rehabilitation Facility | 18500 Sw 424th St, Florida City, FL 33034-7100 | 2008-05-23 |
| Find all providers with the same taxonomy | ||||
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| 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.