Red Door Recovery House

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RED DOOR RECOVERY HOUSE

Practice address

4529 SW 26TH St
West Park, FL 33023-4311

Phone

(954) 612-0592

NPI assigned

Nov 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Willie MurrayNPI 1801215264

Title

Manager

Phone

(404) 254-8521

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie Murray

  • Durable Medical Equipment & Medical Supplies
  • Jonesboro, GA
  • NPI 1801215264
  NPD Authorized official

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1316602691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4529 SW 26TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330234311",
            "telephone_number": "954-612-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4529 SW 26TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330234311",
            "telephone_number": "954-612-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED DOOR RECOVERY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-254-8521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virtha Paul, RBT
• Gabrielle Pelatti
• Fredlynn J Pericles
• Pharma Go of West Park LLC (Pharmago RX)
• Sydney Erica Ramsamooj, RBT
• Reina's Home Care, Corp.
• Theresa A Rivera, RMHCI
• Diana Rodriguez Herrera, SA-C
• S&a Recovery Group
• Jennifer Kathleen San Juan, LMT

• Substance Abuse Rehabilitation Facility in West Park, FL
• Providers in West Park, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.