NPIMap

Organization Active NPI

Our Place, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Deerfield Beach, FL
National Provider Identifier
1821366303
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1706AD870001 Issued in FL
Legal business name
OUR PLACE, LLC
Practice address
460 S Ocean Dr
Deerfield Beach, FL 33441-5125
Phone
(954) 427-8820
Fax
(954) 719-6762
NPI assigned
Dec 12, 2011
Last updated
Dec 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Dr. Fernando Jimenez, M.D.
Title
Medical Director
Phone
(954) 427-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1706AD870001 FL Primary

Addresses

Primary practice location

460 S Ocean Dr
Deerfield Beach, FL 33441-5125

Mailing address

460 S Ocean Dr
Deerfield Beach, FL 33441-5125

National Provider Directory

National Provider Directory
Tax ID family
Our Place 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

460 S Ocean Dr
Deerfield Beach, FL 33441
Phone (954) 427-8820

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1821366303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 S OCEAN DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S OCEAN DR",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334415125",
            "telephone_number": "954-427-8820",
            "fax_number": "954-719-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-427-8820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1706AD870001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.