The Village South, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

113AD273613 Issued in FL

Legal business name

THE VILLAGE SOUTH, INC

Practice address

1633 Poinciana Dr
Pembroke Pines, FL 33025-4587

Phone

(315) 573-3784

Fax

(305) 576-1348

NPI assigned

Oct 14, 2005

Organization subpart

Yes

Parent organization

WESTCARE FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. Michael Miller, PH.D.

Title

Director Special Projects

Phone

(305) 586-4654

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• The Village Other name

Tax ID family

The Village2 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.

• The Village South, Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1023606563
  NPD tax ID

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

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

• Andrea Horwitz

  • Clinical Social Worker
  • Miami, FL
  • NPI 1982000980
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1376532150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 POINCIANA DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254587",
            "telephone_number": "315-573-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 POINCIANA DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254587",
            "telephone_number": "315-573-3784",
            "fax_number": "305-576-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE SOUTH, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTCARE FOUNDATION",
        "enumeration_date": "2005-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR SPECIAL PROJECTS",
        "authorized_official_telephone_number": "305-586-4654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "113AD273613",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "113AD273612",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "113AD273650",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1113AD273605",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1113AD273606",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0605905 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Village",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Michael Jonathan Theiss, DDS
• Anne-Rachele Theodore, PHARMD
• Therapeutic Presence Inc.

• Community/Behavioral Health Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Oct 14, 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.