Active NPI
Serenity House Detox
- Substance Abuse Rehabilitation Facility
- Lauderhill, FL
National Provider Identifier
1669722351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- SERENITY HOUSE DETOX
- Practice address
- 1780 NW 52ND Ave
Lauderhill, FL 33313-7811 - Phone
- (754) 201-2265
- NPI assigned
- Sep 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose Flores
- Title
- Account Specialist
- Phone
- (754) 201-2265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1780 NW 52ND Ave
Lauderhill, FL 33313-7811
Mailing address
1780 NW 52ND Ave
Lauderhill, FL 33313-7811
National Provider Directory
National Provider Directory- Tax ID family
- Serenity House Detox
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Abuse Rehabilitation Facility
- Lauderhill, FL
- NPI 1972046555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347321600000",
"number": "1669722351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1780 NW 52ND AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333137811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1780 NW 52ND AVE",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333137811",
"telephone_number": "754-201-2265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY HOUSE DETOX",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-11",
"last_updated": "2012-09-11",
"status": "A",
"authorized_official_last_name": "FLORES",
"authorized_official_first_name": "JOSE",
"authorized_official_title_or_position": "ACCOUNT SPECIALIST",
"authorized_official_telephone_number": "754-201-2265"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.