Lotus Recovery Rehab

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

LOTUS RECOVERY REHAB

Practice address

4200 NE 22ND Avenue
Lighthouse Point, FL 33064

Phone

(954) 588-7039

Fax

(561) 455-4609

NPI assigned

Nov 19, 2011

Last updated

Nov 19, 2011By the provider in NPPES

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

Ceo

Phone

(954) 588-7039

Specialties & licenses 1

Addresses

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, LLC

  • Substance Abuse Rehabilitation Facility
  • Delray Beach, FL
  • NPI 1700124179
  NPD tax ID

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

{
    "created_epoch": "1321660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321660800000",
    "number": "1700153798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NE 22ND AVE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "330647318",
            "telephone_number": "954-588-7039",
            "fax_number": "561-455-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NE 22ND AVENUE",
            "city": "LIGHTHOUSE POINT",
            "state": "FL",
            "postal_code": "33064",
            "telephone_number": "954-588-7039",
            "fax_number": "561-455-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS RECOVERY REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-19",
        "last_updated": "2011-11-19",
        "status": "A",
        "authorized_official_last_name": "STIFF",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-588-7039"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Point Ambulatory and Surgery Center LLC
• Lighthouse Point Surgery Center LLC
• Jennifer Van Dorn Littlejohn, AU.D.
• Michael Loeffler, MD
• Brenda Lopez Tejada
• Christine Luong, PA-C
• M J Levitats MD PA
• Marcelo Yasuda, P.a.
• Marmed, Inc.
• Parker Ann Martin, Ms, CCC-SLP, SLP

• Substance Use Disorder Rehabilitation Clinic/Center in Lighthouse Point, FL
• Providers in Lighthouse Point, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; 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.