Organization Active NPI

New River Community Mental Health Center, Inc.

Doing business as New River Wellness Center

  • Substance Abuse Rehabilitation Facility
  • Dania Beach, FL
National Provider Identifier
1487805933
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1706AD157802 Issued in FL
Legal business name
NEW RIVER COMMUNITY MENTAL HEALTH CENTER, INC.
Doing business as
New River Wellness Center
Practice address
2962 SW 26 Terrace
Suite 204
Dania Beach, FL 33312
Phone
(954) 530-6118
Fax
(954) 530-6419
NPI assigned
Oct 2, 2008
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Eleanor Chicka
Title
President
Phone
(954) 530-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1706AD157802 FL Primary

Addresses

Primary practice location

2962 SW 26 Terrace
Suite 204
Dania Beach, FL 33312

Mailing address

2962 SW 26 Terrace
Suite 204
Dania Beach, FL 33312
Phone (954) 530-6118

Other names 1

  • New River Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1487805933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 SW 26 TERRACE",
            "address_2": "SUITE 204",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-530-6118",
            "fax_number": "954-530-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2962 SW 26 TERRACE",
            "address_2": "SUITE 204",
            "city": "DANIA BEACH",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-530-6118",
            "fax_number": "954-530-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER COMMUNITY MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "CHICKA",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-530-6118"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1706AD157802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dania Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.