Organization Active NPI

Re-Nu Health Services, LLC.

  • Addiction Medicine (Preventive Medicine) Physician
  • Hollywood, FL
National Provider Identifier
1093340960
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
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

Updated by the provider on Mar 11, 2020

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)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.