Organization Active NPI

Q Space Detox LLC

  • Substance Abuse Rehabilitation Facility
  • Homestead, FL
National Provider Identifier
1881378180
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
Q SPACE DETOX LLC
Practice address
412 SW 5TH St
Homestead, FL 33030
Phone
(561) 460-1318
NPI assigned
Jun 15, 2023
Last updated
Jun 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Donna Weinberger
Title
Director
Phone
(561) 460-1318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

412 SW 5TH St
Homestead, FL 33030

Mailing address

1414 N D St
Lake Worth Beach, FL 33460-1761
Phone (561) 460-1318

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2294891Q Space Detox LLC412 SW 5TH Street, Homestead, FL 33030Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1881378180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N D ST",
            "city": "LAKE WORTH BEACH",
            "state": "FL",
            "postal_code": "334601761",
            "telephone_number": "561-460-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 SW 5TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "33030",
            "telephone_number": "561-460-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q SPACE DETOX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "WEINBERGER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "561-460-1318"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.