NPIMap

Organization Active NPI

Celebrate Life Recovery Center Phase II

  • Multi-Specialty Clinic/Center
  • North Lauderdale, FL
National Provider Identifier
1093255671
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CELEBRATE LIFE RECOVERY CENTER PHASE II
Practice address
6043 Kimberly Blvd
Suite U
North Lauderdale, FL 33068-2829
Phone
(954) 951-6005
Fax
(954) 951-6006
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Naomi Stewart
Title
Owner/Ceo
Phone
(954) 951-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X FL Primary

Addresses

Primary practice location

6043 Kimberly Blvd
Suite U
North Lauderdale, FL 33068-2829

Mailing address

6043 Kimberly Blvd
Suite U
North Lauderdale, FL 33068-2829
Phone (954) 951-6005

National Provider Directory

National Provider Directory
Tax ID family
Celebrate Life Recovery Center Phase II LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1093255671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6043 KIMBERLY BLVD",
            "address_2": "SUITE U",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682829",
            "telephone_number": "954-951-6005",
            "fax_number": "954-951-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6043 KIMBERLY BLVD",
            "address_2": "SUITE U",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330682829",
            "telephone_number": "954-951-6005",
            "fax_number": "954-951-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELEBRATE LIFE RECOVERY CENTER PHASE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "954-951-6005"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.