COVENANT HOUSE FLORIDA, INC.


Address: 733 Breakers Avenue, Ft. Lauderdale, FL 33304-4100
Phone: 9545687939

COVENANT HOUSE FLORIDA, INC. (NPI# 1538333778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538333778
Entity Type Organization
Organization Name COVENANT HOUSE FLORIDA, INC.
Practice Address 733 Breakers Avenue
Ft. Lauderdale
FL 33304-4100
Practice Telephone 9545687939
Practice Fax Number 9545656551
Mailing Fax Number 9545656551
Enumeration Date 2008-04-18
Last Update Date 2008-04-18
Authorized Official Name MR. JAMES GRESS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9545687925
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 324500000X Substance Abuse Rehabilitation Facility 1006AD360701 FL Residential Treatment Facilities

Office Location

Street Address 733 BREAKERS AVENUE
City FT. LAUDERDALE
State FL
Zip Code 33304-4100

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1881090660 Tara Zuckerman Psychologist 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 2014-11-06
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Taxonomy Information

Taxonomy Code 324500000X
Grouping Residential Treatment Facilities
Classification Substance Abuse Rehabilitation Facility

Taxonomy Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Notes: [7/1/2003: modified title, modified definition]

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NPI Name Taxonomy Address Enumeration
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1477166494 Sands Treatment Center LLC Substance Abuse Rehabilitation Facility 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 2020-08-28
1750991923 Aspen Behavioral Health LLC Substance Abuse Rehabilitation Facility 525 10th St Ste 503, Lake Park, FL 33403-3187 2020-08-03
1538786991 Cypress Wellness Retreat LLC Substance Abuse Rehabilitation Facility 180 Elaine Rd, West Palm Beach, FL 33413-2311 2020-07-01
1528680998 Northlake Recovery, LLC Substance Abuse Rehabilitation Facility 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 2020-05-08
1629602040 Adventist Health System-sunbelt, Inc Substance Abuse Rehabilitation Facility 212 Eslinger Way, Sanford, FL 32773-6187 2020-02-25
1326678046 The Treatment Center By The Recovery Village, LLC Substance Abuse Rehabilitation Facility 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 2020-01-22
1932739802 Standard of Care LLC Substance Abuse Rehabilitation Facility 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 2020-01-20
1518505411 Dialogical Interaction Recovery, Corp. Substance Abuse Rehabilitation Facility 515 N. Washington Street, Jacksonville, FL 32202 2019-12-11
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Competitor

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City FT. LAUDERDALE
Zip Code 33304

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Dataset Information

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.

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