Active NPI
Re-Nu Health Services, LLC.
- Addiction Medicine (Preventive Medicine) Physician
- Hollywood, FL
National Provider Identifier
1093340960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- RE-NU HEALTH SERVICES, LLC.
- Practice address
- 4330 Hillcrest Dr Apt 112
Hollywood, FL 33021-7934 - Phone
- (443) 852-6376
- NPI assigned
- Mar 11, 2020
- 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
- Mrs. Kim Singleton
- Title
- Office Manager
- Phone
- (410) 946-4131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary |
Addresses
Primary practice location
4330 Hillcrest Dr Apt 112
Hollywood, FL 33021-7934
Mailing address
4330 Hillcrest Dr Apt 112
Hollywood, FL 33021-7934
Phone (443) 852-6376
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1093340960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 HILLCREST DR APT 112",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217934",
"telephone_number": "443-852-6376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 HILLCREST DR APT 112",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330217934",
"telephone_number": "443-852-6376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RE-NU HEALTH SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "SINGLETON",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-946-4131",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2083A0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.