Active NPI
South Beach Detox LLC
- Substance Abuse Rehabilitation Facility
- North Miami Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 001957
- Legal business name
- SOUTH BEACH DETOX LLC
- Practice address
- 85 NW 168TH Street
North Miami Beach, FL 33169-6053 - Phone
- (305) 430-6040
- Fax
- (305) 705-4269
- NPI assigned
- May 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Hurwit, ARNP
- Title
- Owner
- Phone
- (305) 992-8117
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 001957 | FL | Primary |
Addresses
Primary practice location
85 NW 168TH Street
North Miami Beach, FL 33169-6053
Mailing address
16400 NW 2ND Avenue Suite 200
North Miami Beach, FL 33169-6035
Phone (305) 430-6040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001957 | Other | FL | DCF STATE LICENSE |
| PROV-001957 | Other | FL | DCF PROVISIONAL LICENSE NUMBER |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2149699 | South Beach Detox, LLC | Certificate of waiver | Jun 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
16400 NW 2nd Ave
Ste 200
North Miami Beach, FL 33169
85 NW 168th St
North Miami Beach, FL 33169
Phone (305) 430-6040
16400 NW 2nd Ave
Ste 203
North Miami Beach, FL 33169
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- North Miami Beach, FL
- NPI 1891850095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628726400000",
"number": "1043700578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16400 NW 2ND AVENUE SUITE 200",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696035",
"telephone_number": "305-430-6040",
"fax_number": "305-705-4269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 NW 168TH STREET",
"city": "NORTH MIAMI BEACH",
"state": "FL",
"postal_code": "331696053",
"telephone_number": "305-430-6040",
"fax_number": "305-705-4269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH BEACH DETOX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-10",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A",
"authorized_official_last_name": "HURWIT",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-992-8117",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "FL",
"license": "001957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCF STATE LICENSE",
"identifier": "001957",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCF PROVISIONAL LICENSE NUMBER",
"identifier": "PROV-001957",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.