Organization Active NPI

Peaceful Ridge Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Coral Springs, FL
National Provider Identifier
1730504168
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1706AD069401 Issued in FL
Legal business name
PEACEFUL RIDGE RECOVERY, LLC
Practice address
9732 W Sample Rd
Coral Springs, FL 33065
Phone
(954) 284-0025
Fax
(786) 664-3342
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Authorized official

Name
Rachelle H Weiss Lahn
Title
Ceo
Phone
(954) 284-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1706AD069401 FL Primary

Addresses

Primary practice location

9732 W Sample Rd
Coral Springs, FL 33065

Mailing address

9732 W Sample Rd
Coral Springs, FL 33065-4004
Phone (954) 284-0025

National Provider Directory

National Provider Directory

Locations

9732 W Sample Rd
Coral Springs, FL 33065
Phone (888) 231-8956

5337 Orange Dr
Davie, FL 33314
Phone (954) 284-0025

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1730504168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9732 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654004",
            "telephone_number": "954-284-0025",
            "fax_number": "786-664-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9732 W SAMPLE RD",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33065",
            "telephone_number": "954-284-0025",
            "fax_number": "786-664-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL RIDGE RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "WEISS LAHN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-284-0025"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD069401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.