Lotus Recovery Rehab, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

LOTUS RECOVERY REHAB, LLC

Practice address

955 NW 17TH Ave
Suite F
Delray Beach, FL 33445-2516

Phone

(954) 588-4934

Fax

(865) 984-2426

NPI assigned

Jan 19, 2013

Organization subpart

No

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

Authorized official

Name

Renee Stiff

Title

Administrator

Phone

(954) 588-7039

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Lotus Recovery Rehab2 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.

• Lotus Recovery Rehab

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lighthouse Point, FL
  • NPI 1700153798
  NPD tax ID

Locations

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

{
    "created_epoch": "1358553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1700124179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 NE 5TH AVE",
            "address_2": "D-117",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334835658",
            "telephone_number": "954-588-4934",
            "fax_number": "865-984-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 NW 17TH AVE",
            "address_2": "SUITE F",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334452516",
            "telephone_number": "954-588-4934",
            "fax_number": "865-984-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS RECOVERY REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-19",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "STIFF",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-588-7039"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D2039197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jackson P Lorentz, RMHCI
• Lori Raynor O.D., PA. (Lori Raynor, O.D.)
• Carline Lormejuste
• Lorraine J. Blum, LCSW PA
• Linda A Losi, RN, LCSW, CHT
• Lotus12 Inc
• Quintera Louis
• Wadeline Louis, PT, DPT, CLWT
• Esther Louissaint Pierre
• Eddy Joseph Louissaint, MD

• Substance Abuse Rehabilitation Facility in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.