Recovery Village

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

RECOVERY VILLAGE

Practice address

5994 NW 74TH St
Parkland, FL 33067-2451

Phone

(305) 992-5119

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Rod Mack

Title

Owner

Phone

(305) 992-5119

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1174056527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5994 NW 74TH ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672451",
            "telephone_number": "305-992-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5994 NW 74TH ST",
            "city": "PARKLAND",
            "state": "FL",
            "postal_code": "330672451",
            "telephone_number": "305-992-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-992-5119"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Children's Substance Abuse Rehabilitation Facility in Parkland, FL
• Providers in Parkland, FL by specialty
• Children's Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.