Gateway to Wellness LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GATEWAY TO WELLNESS LLC

Practice address

3881 NE 3Rd Ave
Oakland Park, FL 33334-1259

Phone

(954) 647-4394

NPI assigned

Jan 25, 2013

Last updated

Jan 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Valerie Stojanovic

Title

Ceo

Phone

(954) 647-4394

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1093053043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE 3RD ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333011140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881 NE 3RD AVE",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341259",
            "telephone_number": "954-647-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY TO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "STOJANOVIC",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-647-4394"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.