SERENITY HOUSE DETOX (NPI# 1972046555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972046555 |
| Entity Type | Organization |
| Organization Name | SERENITY HOUSE DETOX |
| Practice Address |
1780 Nw 52nd Ave Lauderhill FL 33313-7811 |
| Mailing Address |
Po Box 2070 Hallandale FL 33008-2070 |
| Practice Telephone | 8889607148 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2017-04-04 |
| Authorized Official Name | ERICA SHAPIRO (CEO) |
| Authorized Official Telephone | 3057617318 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | FL | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669722351 | Serenity House Detox | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2012-09-11 |
| Street Address |
1780 NW 52ND AVE |
| City | LAUDERHILL |
| State | FL |
| Zip Code | 33313-7811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316107089 | K3d Industries, LLC | Rehabilitation, Substance Use Disorder Unit | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2008-06-16 |
| 1821572058 | Nielly Tracy Melville | Nurse Practitioner | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2018-09-24 |
| 1669722351 | Serenity House Detox | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2012-09-11 |
| 1093012338 | K3d Industries, LLC | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2011-02-23 |
| 1871731356 | K3d Industries, Inc | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| 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 |
|---|---|---|---|---|
| 1669722351 | Serenity House Detox | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2012-09-11 |
| 1093012338 | K3d Industries, LLC | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2011-02-23 |
| 1871731356 | K3d Industries, Inc | Substance Abuse Rehabilitation Facility | 1780 Nw 52nd Ave, Lauderhill, FL 33313-7811 | 2009-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336747146 | Ascend Recovery Center | Substance Abuse Rehabilitation Facility | 5716 S Dixie Hwy, West Palm Beach, FL 33405-3607 | 2020-10-14 |
| 1427664366 | Noble Wellness, LLC | Substance Abuse Rehabilitation Facility | 402 Ne 10th Ter, Boca Raton, FL 33432-2940 | 2020-09-16 |
| 1477166494 | Sands Treatment Center LLC | Substance Abuse Rehabilitation Facility | 2100 Park Central Blvd N Ste 900, Pompano Beach, FL 33064-2242 | 2020-08-28 |
| 1750991923 | Aspen Behavioral Health LLC | Substance Abuse Rehabilitation Facility | 525 10th St Ste 503, Lake Park, FL 33403-3187 | 2020-08-03 |
| 1538786991 | Cypress Wellness Retreat LLC | Substance Abuse Rehabilitation Facility | 180 Elaine Rd, West Palm Beach, FL 33413-2311 | 2020-07-01 |
| 1528680998 | Northlake Recovery, LLC | Substance Abuse Rehabilitation Facility | 8841 Lyndall Ln, Palm Beach Gardens, FL 33403-1639 | 2020-05-08 |
| 1629602040 | Adventist Health System-sunbelt, Inc | Substance Abuse Rehabilitation Facility | 212 Eslinger Way, Sanford, FL 32773-6187 | 2020-02-25 |
| 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 |
| 1932739802 | Standard of Care LLC | Substance Abuse Rehabilitation Facility | 721 Us Highway 1 Ste 114-115, North Palm Beach, FL 33408-4512 | 2020-01-20 |
| 1518505411 | Dialogical Interaction Recovery, Corp. | Substance Abuse Rehabilitation Facility | 515 N. Washington Street, Jacksonville, FL 32202 | 2019-12-11 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERHILL |
| Zip Code | 33313 |
Please comment or provide details below to improve the information on SERENITY HOUSE DETOX.
| 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.