INTERNATIONAL RECOVERY CENTER, LLC (NPI# 1710438338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710438338 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL RECOVERY CENTER, LLC |
| Practice Address |
1825 Nw 112th Ave Suite 151 Miami FL 33172-1815 |
| Practice Telephone | 3056003255 |
| Mailing Telephone | 3056003255 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-12-09 |
| Authorized Official Name | KELI KORNMILLER (CLIENT ONBOARDING SUPERVISOR) |
| Authorized Official Telephone | 5616728345 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0800X |
Clinic/Center Specialization: Recovery Care |
13=========01 | FL | Ambulatory Health Care Facilities |
| Street Address |
1825 NW 112TH AVE SUITE 151 |
| City | MIAMI |
| State | FL |
| Zip Code | 33172-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053865642 | International Recovery Center LLC | Clinic/Center | 1825 Nw 112th Ave, Ste 151, Miami, FL 33172-1815 | 2016-08-11 |
| 1679023766 | International Recovery Center | Substance Abuse Rehabilitation Facility | 1825 Nw 112th Ave, Suite 151, Miami, FL 33172-1815 | 2016-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 261QR0800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Recovery Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487138939 | Shining Light Peer Services | Clinic/Center | 3030 Powers Ave, Jacksonville, FL 32207-8043 | 2018-09-20 |
| 1962859983 | Miami Beach Holistic Addiction Treatment Center, LLC. | Clinic/Center | 309 23rd St Ste 200c, Miami Beach, FL 33139-1700 | 2016-05-19 |
| 1962865048 | Holistic Will | Clinic/Center | 2500 Quantum Lakes Dr Ste 212, Boynton Beach, FL 33426-8308 | 2016-04-05 |
| 1366782062 | Easy Horizons, LLC | Clinic/Center | 885 Se 6th Ave Ste C, Delray Beach, FL 33483-5184 | 2013-02-18 |
| 1467600205 | Hyperbaric Services of South Florida Inc | Clinic/Center | 8337 Nw 12th St, Suite 101, Doral, FL 33126-1841 | 2008-09-05 |
| 1578178851 | Crossings Addiction Services Inc, The | Clinic/Center | 107 W Main St, Wauchula, FL 33873-2819 | 2020-09-13 |
| 1477103521 | Mccormick Organization, Inc | Clinic/Center | 1355 N Atlantic Ave, Cocoa Beach, FL 32931-3203 | 2019-09-19 |
| 1396222618 | Square 1 Addiction Programs | Clinic/Center | 1212 Court St Ste B, Clearwater, FL 33756-5004 | 2018-07-20 |
| 1902393663 | Helping Hands Recovery Center, LLC | Clinic/Center | 4101 N Andrews Ave Ste 209, Oakland Park, FL 33309-4775 | 2018-04-18 |
| 1851811004 | Recovery Boot Camp, LLC | Clinic/Center | 85 Sw 5th Ave, Delray Beach, FL 33444-2511 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on INTERNATIONAL RECOVERY CENTER, 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.