Florida Life Recovery and Rehabilitation LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FLORIDA LIFE RECOVERY AND REHABILITATION LLC

Practice address

590 E 49TH St
Hialeah, FL 33013-1962

Phone

(305) 960-7104

Fax

(305) 907-5221

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Angelica Pacheco

Title

Office Manager

Phone

(305) 960-7104

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacheco Medical Centers Doing business as

Tax ID family

Florida Life Recovery and Rehabilitation LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Florida Life Recovery and Rehabilitation LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hialeah, FL
  • NPI 1710412804
  NPD tax ID

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1215440227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "305-960-7104",
            "fax_number": "305-907-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "305-960-7104",
            "fax_number": "305-907-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA LIFE RECOVERY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-960-7104"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105937600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacheco Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Healthcare Corp
• Florida Healthcare Corp.
• Florida Home Health Agency, Inc
• Florida Institute for Pain, Inc
• Florida Kidz and Families Medical Center Inc
• Florida Life Recovery and Rehabilitation LLC
• Florida Life Services LLC
• Florida Pharmacy Inc.
• Florida Physicians Eyecare Group, P.a.
• Florida Physicians Group Inc

• Primary Care Clinic/Center in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.