IGNITE RECOVERY CENTER LLC NPI 1205429834

NPI Information

  • NPI: 1205429834
  • Provider Name: IGNITE RECOVERY CENTER LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 10D2232341
  • Address: 4850 W OAKLAND PARK BLVD STE 257
    LAUDERDALE LAKES, FL
    ZIP 33313
  • Phone: (954) 213-6569

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NPI Details

IGNITE RECOVERY CENTER LLC is a rehabilitation and substance use disorder clinic center in Lauderdale Lakes, FL. IGNITE RECOVERY CENTER LLC NPI is 1205429834. The provider is registered as an organization entity type.

The provider's business location address is:

4850 W OAKLAND PARK BLVD STE 257
LAUDERDALE LAKES, FL
ZIP 33313-275
Phone: (954) 213-6569

The provider's authorized official is James Powers .
The authorized official title is Executive Director and has the following contact phone number (954) 213-6569.

The CLIA number assigned to this NPI record is 10D2232341 - other - outpaitent sub abuse tc with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/15/2021 and was last updated on 4/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation FacilityNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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