Coconut Grove Recovery LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

10D2106134 Issued in FL

Legal business name

COCONUT GROVE RECOVERY LLC

Practice address

15291 NW 60TH Ave Ste 200
Ste 200
Miami Lakes, FL 33014-2460

Phone

(855) 366-5224

Fax

(855) 768-4701

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Cathy Picillo

Title

Billing Collection Manager

Phone

(954) 993-7165

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Coconut Grove Recovery 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.

• Coconut Grove Recovery LLC

  • Psychiatry Physician
  • Miami Lakes, FL
  • NPI 1275981243
  NPD tax ID
• Coconut Grove Recovery LLC

  dba More Life Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hollywood, FL
  • NPI 1568828978
  NPD tax ID

Locations

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1912456435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE",
            "address_2": "STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142458",
            "telephone_number": "855-366-5224",
            "fax_number": "855-768-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE STE 200",
            "address_2": "STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142460",
            "telephone_number": "855-366-5224",
            "fax_number": "855-768-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCONUT GROVE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "PICILLO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BILLING COLLECTION MANAGER",
        "authorized_official_telephone_number": "954-993-7165"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "10D2106134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS CLIA LICENSE",
            "identifier": "10D2106134",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CMP Foot & Ankle LLC
• Tiffany Coats
• Yamila Cobos Castillo
• Natacha Coca, ARNP
• Coconut Grove Recovery LLC
• Coffeestone Holdings
• Cognitive Health Network Corp
• Stefani Cohen, RNFA
• Schane Coker, M.S., FFC, AFC
• Collado Home Care Services Inc

• Clinical Medical Laboratory in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.