Organization Active NPI

Novus Medical Detox Center

  • Substance Abuse Rehabilitation Facility
  • New Port Richey, FL
National Provider Identifier
1477896991
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
SR51AD2352-01 Issued in FL
Legal business name
NOVUS MEDICAL DETOX CENTER
Practice address
9270 Royal Palm Ave
New Port Richey, FL 34654-5018
Phone
(727) 232-8356
Fax
(727) 232-8408
NPI assigned
Apr 3, 2013
Last updated
Dec 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2016

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

Authorized official

Name
Mrs. Bryn Wesch
Title
Cfo
Phone
(727) 232-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X SR51AD2352-01 FL Primary

Addresses

Primary practice location

9270 Royal Palm Ave
New Port Richey, FL 34654-5018

Mailing address

9270 Royal Palm Ave
New Port Richey, FL 34654-5018
Phone (727) 232-8356

Other identifiers 1

IdentifierTypeStateIssuer
0652AD235201OtherFLPA GROUP

National Provider Directory

National Provider Directory
Tax ID family
Novus Medical Detox Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1477896991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 ROYAL PALM AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545018",
            "telephone_number": "727-232-8356",
            "fax_number": "727-232-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 ROYAL PALM AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346545018",
            "telephone_number": "727-232-8356",
            "fax_number": "727-232-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVUS MEDICAL DETOX CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "WESCH",
        "authorized_official_first_name": "BRYN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "727-232-8356",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "SR51AD2352-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA GROUP",
            "identifier": "0652AD235201",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

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