NPIMap

Organization Active NPI

Project Renewal Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Lauderhill, FL
National Provider Identifier
1871956532
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
101YA0400X Issued in FL
Legal business name
PROJECT RENEWAL INC.
Practice address
7764 NW 44TH St
Lauderhill, FL 33351-6204
Phone
(954) 376-9631
NPI assigned
Mar 31, 2016
Last updated
Mar 31, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Martin Rubin
Title
Ceo
Phone
(954) 376-9631

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X 101YA0400X FL Primary

Addresses

Primary practice location

7764 NW 44TH St
Lauderhill, FL 33351-6204

Mailing address

7764 NW 44TH St
Lauderhill, FL 33351-6204
Phone (954) 376-9631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1871956532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7764 NW 44TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516204",
            "telephone_number": "954-376-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7764 NW 44TH ST",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516204",
            "telephone_number": "954-376-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT RENEWAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-376-9631"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "101YA0400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.