HARBOR VILLAGE INC. (NPI# 1417392762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417392762 |
| Entity Type | Organization |
| Organization Name | HARBOR VILLAGE INC. |
| Practice Address |
9198 Nw 8th Ave Miami FL 33150-2004 |
| Mailing Address |
Po Box 919598 Orlando FL 32891-9598 |
| Practice Telephone | 8556336130 |
| Practice Fax Number | 3059307437 |
| Mailing Telephone | 8556336130 |
| Mailing Fax Number | 3059307437 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | ROBERT GRANT NIZNIK (OWNER/CEO) |
| Authorized Official Telephone | 8556336130 |
| Authorized Official Credential | J,D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 1113AD185301 | FL | Residential Treatment Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1515 Nw 167th St Ste 430, Miami Gardens, FL 331695147 | 8556336130 | 3059307437 |
| Street Address |
9198 NW 8TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33150-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679611776 | Nancy Blair | Psychologist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2007-02-01 |
| 1881215127 | Jessica Eisenberg | Social Worker | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2020-04-28 |
| 1699396937 | Marisa Dellarmo | Counselor | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2020-04-28 |
| 1477104735 | Eny Karina Torres | Nurse Practitioner | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2019-09-26 |
| 1124524277 | Liset Cruz | Nurse Practitioner | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2018-04-05 |
| 1871048413 | Lienis Perez | Massage Therapist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2016-08-24 |
| 1053792333 | Miriela Alvarez | Massage Therapist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2015-06-12 |
| 1932502382 | Erika M Berdugo | Massage Therapist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2014-09-30 |
| 1639580061 | Pgnm Inc | Psychologist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2014-05-20 |
| 1265854467 | Holly Cortella | Psychologist | 9198 Nw 8th Ave, Miami, FL 33150-2004 | 2014-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678046 | The Treatment Center By The Recovery Village, LLC | Substance Abuse Rehabilitation Facility | 8585 Sunset Dr Ste 202, Miami, FL 33143-3746 | 2020-01-22 |
| 1871158873 | Positive Point Inc | Substance Abuse Rehabilitation Facility | 111 Nw 183rd Street Suite 423, Miami, FL 33169 | 2019-05-06 |
| 1366968117 | Love Life Wellness Center LLC | Substance Abuse Rehabilitation Facility | 584 Nw 27th St, Miami, FL 33127-4128 | 2017-08-14 |
| 1194264721 | Here's Help, Inc. | Substance Abuse Rehabilitation Facility | 9016 Sw 152nd Street, Miami, FL 33157 | 2017-02-15 |
| 1508311648 | Serenity Recovery Center At North Shore Medical Center | Substance Abuse Rehabilitation Facility | 1100 Nw 95th St 2nd Fl Main, Miami, FL 33150-2038 | 2016-08-18 |
| 1114377405 | Major and Associates Management LLC | Substance Abuse Rehabilitation Facility | 2375 Nw 86th St, Miami, FL 33147-4148 | 2016-06-16 |
| 1245693134 | Acceptance Recovery Center Miami LLC | Substance Abuse Rehabilitation Facility | 1385 Nw 15th St, Miami, FL 33125-1621 | 2016-03-30 |
| 1477918787 | Serenity Recovery Center At North Shore Medical Center | Substance Abuse Rehabilitation Facility | 1100 Nw 95th St Ste 2, Miami, FL 33150-2038 | 2015-12-31 |
| 1821496613 | Safe Haven Recovery Inc | Substance Abuse Rehabilitation Facility | 540 Nw 165th St Ste 310, Miami, FL 33169-6304 | 2014-12-11 |
| 1558638023 | Better Way of Miami | Substance Abuse Rehabilitation Facility | 800 Nw 28th Ave, Miami, FL 33125-4314 | 2011-11-28 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.