NPIMap

Organization Active NPI

International Recovery Center, LLC

  • Recovery Care Clinic/Center
  • Miami, FL
National Provider Identifier
1710438338
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
License
1301 Issued in FL
Legal business name
INTERNATIONAL RECOVERY CENTER, LLC
Practice address
1825 NW 112TH Ave
Suite 151
Miami, FL 33172-1815
Phone
(305) 600-3255
NPI assigned
Oct 19, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Keli Kornmiller
Title
Client Onboarding Supervisor
Phone
(561) 672-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X 1301 FL Primary

Addresses

Primary practice location

1825 NW 112TH Ave
Suite 151
Miami, FL 33172-1815

Mailing address

1825 NW 112TH Ave
Suite 151
Miami, FL 33172-1815
Phone (305) 600-3255

National Provider Directory

National Provider Directory
Tax ID family
International Recovery Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1825 NW 112th Ave
Ste 151
Miami, FL 33172
Phone (305) 600-3255

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710438338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 NW 112TH AVE",
            "address_2": "SUITE 151",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721815",
            "telephone_number": "305-600-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 NW 112TH AVE",
            "address_2": "SUITE 151",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331721815",
            "telephone_number": "305-600-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "CLIENT ONBOARDING SUPERVISOR",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "FL",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.