Organization Active NPI

Renaissance Recovery Florida LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lantana, FL
National Provider Identifier
1922877323
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
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

Updated by the provider on Dec 27, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.