Florida Life Recovery and Rehabilitation LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FLORIDA LIFE RECOVERY AND REHABILITATION LLC

Doing business as

Pacheco Medical Centers

Practice address

590 E 49TH St
Hialeah, FL 33013-1962

Phone

(786) 409-4313

Fax

(305) 397-2502

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Daniel Pacheco

Title

Ceo/Owner

Phone

(305) 960-7104

Specialties & licenses 1

Addresses

Other names 1

• Pacheco Medical Centers Doing business as

Tax ID family

Florida Life Recovery and Rehabilitation LLC2 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.

• Florida Life Recovery and Rehabilitation LLC

  • Primary Care Clinic/Center
  • Hialeah, FL
  • NPI 1215440227
  NPD tax ID

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1710412804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "786-409-4313",
            "fax_number": "305-397-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 E 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131962",
            "telephone_number": "786-409-4313",
            "fax_number": "305-397-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA LIFE RECOVERY AND REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "305-960-7104"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacheco Medical Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Florida Healthcare Corp.
• Florida Home Health Agency, Inc
• Florida Institute for Pain, Inc
• Florida Kidz and Families Medical Center Inc
• Florida Life Recovery and Rehabilitation LLC
• Florida Life Services LLC
• Florida Pharmacy Inc.
• Florida Physicians Eyecare Group, P.a.
• Florida Physicians Group Inc
• Florida Physicians Group Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.