Active NPI
Peaceful Ridge Recovery, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Coral Springs, FL
National Provider Identifier
1730504168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- 1706AD069401
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Prescribing (Medical) Psychologist
- Davie, FL
- NPI 1477901320
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.