Organization Active NPI

South Beach Detox LLC

  • Substance Abuse Rehabilitation Facility
  • North Miami Beach, FL
National Provider Identifier
1043700578
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
001957 Issued in FL
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

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna Hurwit, ARNPNPI 1891850095
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001957OtherFLDCF STATE LICENSE
PROV-001957OtherFLDCF PROVISIONAL LICENSE NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2149699South Beach Detox, LLC85 NW 168TH Street, North Miami Beach, FL 33169Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.