Pop's House LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10D2039731 Issued in FL

Legal business name

POP'S HOUSE LLC

Practice address

4101 NE 13TH Ave
Pompano Beach, FL 33064-6040

Phone

(954) 746-8232

Fax

(954) 746-8231

NPI assigned

Jul 30, 2012

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edgardo Vega

Title

Owner

Phone

(954) 746-8232

Specialties & licenses 1

Addresses

Tax ID family

Northstar Iop2 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.

• Pop's House, LLC

  dba Northstar IOP

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Pompano Beach, FL
  • NPI 1316362759
  NPD tax ID

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1336495290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 NE 13TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646040",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 NE 13TH AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646040",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POP'S HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-746-8232"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "10D2039731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Ponczek, LMFT, CAP
• Ponder & Associates Inc (Tender Loving Care Adult Day Health Center)
• Constance Ponder
• Alejandro Pontino
• Shantel T Poole
• Pop's House, LLC (Northstar IOP)
• Stephanie Ann Popov, LPN
• Carine Porfiri, M.D.
• Laswanda Porter
• Sarah Catherine Porter

• Community/Behavioral Health Agency in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.