Renew Reentry House LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RENEW REENTRY HOUSE LLC

Practice address

19410 NW 7TH CT
Miami Gardens, FL 33169-3116

Phone

(305) 432-1569

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Lorvie Janay Paul

Title

Owner

Phone

(305) 432-1569

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1255019758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19410 NW 7TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693116",
            "telephone_number": "305-432-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19410 NW 7TH CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331693116",
            "telephone_number": "305-432-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW REENTRY HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "LORVIE",
        "authorized_official_middle_name": "JANAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-432-1569"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.