Active NPI
Renaissance Recovery Florida LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Lantana, FL
National Provider Identifier
1922877323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- RENAISSANCE RECOVERY FLORIDA LLC
- Practice address
- 327 W Lantana Rd
Lantana, FL 33462-1773 - Phone
- (949) 742-0172
- NPI assigned
- Dec 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Reese Morgan
- Title
- Ceo
- Phone
- (949) 742-0172
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
327 W Lantana Rd
Lantana, FL 33462-1773
Mailing address
824 Lake Ave Ste 179
Lake Worth Beach, FL 33460-3754
Phone (949) 742-0172
National Provider Directory
National Provider DirectoryLocations
824 Lake Ave
Ste 179
Lake Worth Beach, FL 33460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703635200000",
"number": "1922877323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 LAKE AVE STE 179",
"city": "LAKE WORTH BEACH",
"state": "FL",
"postal_code": "334603754",
"telephone_number": "949-742-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "327 W LANTANA RD",
"city": "LANTANA",
"state": "FL",
"postal_code": "334621773",
"telephone_number": "949-742-0172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE RECOVERY FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-27",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "REESE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "949-742-0172",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.