NPIMap

Organization Active NPI

Reawakenings Wellness Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Miramar, FL
National Provider Identifier
1518306018
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REAWAKENINGS WELLNESS CENTER, LLC
Practice address
3600 Red Road
5TH Floor
Miramar, FL 33025
Phone
(855) 925-3669
Fax
(646) 304-5626
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Tara S. Saini, MD
Title
Medical Director
Phone
(855) 925-3669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3600 Red Road
5TH Floor
Miramar, FL 33025

Mailing address

3600 Red Road
5TH Floor
Miramar, FL 33025
Phone (855) 925-3669

National Provider Directory

National Provider Directory
Tax ID family
Reawakenings Wellness 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": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1518306018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED ROAD",
            "address_2": "5TH FLOOR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "855-925-3669",
            "fax_number": "646-304-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 RED ROAD",
            "address_2": "5TH FLOOR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33025",
            "telephone_number": "855-925-3669",
            "fax_number": "646-304-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAWAKENINGS WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "SAINI",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "855-925-3669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.