COCONUT GROVE RECOVERY LLC (NPI# 1568828978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568828978 |
| Entity Type | Organization |
| Organization Name | COCONUT GROVE RECOVERY LLC |
| Other Organization Name | MORE LIFE RECOVERY |
| Practice Address |
5001 Hollywood Blvd Hollywood FL 33021 |
| Practice Telephone | 8662128122 |
| Practice Fax Number | 8552952937 |
| Mailing Telephone | 8662128122 |
| Mailing Fax Number | 8552952937 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2019-11-20 |
| Authorized Official Name | MRS. MARISSA ANN BOTA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8662128122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| More Life Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912456435 | Coconut Grove Recovery LLC | Clinical Medical Laboratory | 15291 Nw 60th Ave Ste 200, Ste 200, Miami Lakes, FL 33014-2460 | 2016-09-26 |
| 1275981243 | Coconut Grove Recovery LLC | Clinic/Center | 15291 Nw 60th Ave Ste 200-201, Miami Lakes, FL 33014-8590 | 2016-05-31 |
| Street Address |
5001 HOLLYWOOD BLVD |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154495190 | Acsr Inc | Clinic/Center | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2006-11-20 |
| 1922557446 | Recovery In The Light | Clinical Medical Laboratory | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2016-09-26 |
| 1437507894 | Recovery In The Light LLC | Clinic/Center | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2016-05-26 |
| 1457757833 | Recovery In The Light | Clinic/Center | 5001 Hollywood Blvd, Hollywood, FL 33021 | 2014-11-12 |
| 1962702209 | All Day Care Center, LLC | Respite Care | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568814838 | Living Free Institute LLC | Clinic/Center | 7705 Davie Road Ext, Hollywood, FL 33024-2515 | 2016-07-11 |
| 1780076273 | Recovery First of Florida, LLC | Clinic/Center | 4110 Davie Road Ext, Suite 203, Hollywood, FL 33024 | 2015-02-20 |
| 1437507894 | Recovery In The Light LLC | Clinic/Center | 5001 Hollywood Blvd, Hollywood, FL 33021-6515 | 2016-05-26 |
| 1457757833 | Recovery In The Light | Clinic/Center | 5001 Hollywood Blvd, Hollywood, FL 33021 | 2014-11-12 |
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| 1750937041 | The Process Treatment Center, LLC | Clinic/Center | 521 Northlake Blvd Ste 1, North Palm Beach, FL 33408-5418 | 2019-08-13 |
| 1083275804 | Jayson Williams Center Inc. | Clinic/Center | 5499 N Federal Hwy Ste Gandl2, Boca Raton, FL 33487-4993 | 2019-06-24 |
| 1053970053 | Alternatives for You, LLC | Clinic/Center | 8895 N Military Trl Ste 101e, West Palm Beach, FL 33410-6262 | 2019-06-12 |
| 1700443520 | American Detox and Wellness Center | Clinic/Center | 12150 Cortez Blvd, Brooksville, FL 34613-5575 | 2019-05-28 |
| 1982268058 | M.a.t. of The Palm Beaches LLC | Clinic/Center | 321 Northlake Blvd Ste 116, North Palm Beach, FL 33408-5410 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
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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.