Organization Active NPI

Open Arms Treatment

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lauderdale Lakes, FL
National Provider Identifier
1346695475
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
2517192 Issued in FL
Legal business name
OPEN ARMS TREATMENT
Practice address
2331 N State Road 7
101
Lauderdale Lakes, FL 33313-3748
Phone
(954) 484-8444
NPI assigned
Apr 26, 2016
Organization subpart
Yes
Parent organization
MEDIX FAMILY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Yvette Jean Fletcher, ARNP
Title
Officer
Phone
(954) 484-8444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 2517192 FL Primary

Addresses

Primary practice location

2331 N State Road 7
101
Lauderdale Lakes, FL 33313-3748

Mailing address

2331 N State Road 7
101
Lauderdale Lakes, FL 33313-3748
Phone (954) 484-8444

Other identifiers 1

IdentifierTypeStateIssuer
304370300MedicaidFL

National Provider Directory

National Provider Directory
Part of
Medix Family Health Center

Locations

2331 N State Road 7
Ste 101
Lauderdale Lakes, FL 33313
Phone (954) 484-8444

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1346695475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-484-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2331 N STATE ROAD 7",
            "address_2": "101",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333133748",
            "telephone_number": "954-484-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ARMS TREATMENT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDIX FAMILY HEALTH CENTER",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "954-484-8444",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "2517192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "304370300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.