Organization Active NPI

Pure Enterprises LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • North Miami Beach, FL
National Provider Identifier
1750831665
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1301 Issued in FL
Legal business name
PURE ENTERPRISES LLC
Practice address
633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442
Phone
(305) 297-8583
NPI assigned
Oct 4, 2016
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
Mario J Orduz
Title
Manager
Phone
(305) 297-8583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1301 FL Primary

Addresses

Primary practice location

633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442

Mailing address

633 NE 167TH St
Suite 1125
North Miami Beach, FL 33162-2442

Other names 1

  • Pure Beginnings Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pure Beginnings2 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.

Locations

633 NE 167th St
Ste 1125
North Miami Beach, FL 33162
Phone (305) 297-8583

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750831665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 NE 167TH ST",
            "address_2": "SUITE 1125",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331622442",
            "telephone_number": "305-297-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ORDUZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-297-8583"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Beginnings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Miami Beach, 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.