NPIMap

Organization Active NPI

Ocean Breeze Detox LLC

  • Psychiatric Residential Treatment Facility
  • Pembroke Pines, FL
National Provider Identifier
1801565965
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
OCEAN BREEZE DETOX LLC
Practice address
1300 Hibiscus Dr
Pembroke Pines, FL 33025-4556
Phone
(855) 730-4981
Fax
(954) 337-6238
NPI assigned
Sep 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Authorized official

Name
Michael Borkowski
Title
Cfo
Phone
(954) 487-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

1300 Hibiscus Dr
Pembroke Pines, FL 33025-4556

Mailing address

1901 W Cypress Creek Rd Ste 500
Fort Lauderdale, FL 33309-1862

Other names 1

  • Vista Pines Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ocean Breeze Detox LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1801565965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W CYPRESS CREEK RD STE 500",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333091862",
            "fax_number": "954-337-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HIBISCUS DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330254556",
            "telephone_number": "855-730-4981",
            "fax_number": "954-337-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN BREEZE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "BORKOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-487-1224"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Pines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.