Organization Active NPI

Lotus House Recovery LLC

  • Multi-Specialty Clinic/Center
  • North Miami, FL
National Provider Identifier
1497265805
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LOTUS HOUSE RECOVERY LLC
Practice address
12355 W Dixie Hwy
North Miami, FL 33161-5428
Phone
(786) 452-9190
Fax
(786) 483-7992
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Authorized official

Name
Mathew Ryan Arena
Title
Owner
Phone
(786) 452-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

12355 W Dixie Hwy
North Miami, FL 33161-5428

Mailing address

12355 W Dixie Hwy
North Miami, FL 33161-5428
Phone (786) 452-9190

National Provider Directory

National Provider Directory

Locations

12355 W Dixie Hwy
North Miami, FL 33161
Phone (786) 452-9190

NPI Registry JSON

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1497265805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615428",
            "telephone_number": "786-452-9190",
            "fax_number": "786-483-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 W DIXIE HWY",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615428",
            "telephone_number": "786-452-9190",
            "fax_number": "786-483-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS HOUSE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ARENA",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-452-9190"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.