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THE BOUGAINVILLA HOUSE INC. NPI 1700243300


NPI Information

NPI: 1700243300
Provider Name: THE BOUGAINVILLA HOUSE, INC.
Classification: Clinic/Center - 261QR0800X
Entity Type: Organization

Specialization: Recovery Care

Address:
1727 SE 4TH AVE
FORT LAUDERDALE, FL
ZIP 33316
Phone: (954) 764-7337
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THE BOUGAINVILLA HOUSE, INC. is a recovery care clinic center in Fort Lauderdale, FL. THE BOUGAINVILLA HOUSE, INC. NPI is 1700243300. The provider is registered as an organization entity type.

The provider's business location address is:

1727 SE 4TH AVE
FORT LAUDERDALE, FL
ZIP 33316-515
Phone: (954) 764-7337
Fax: (954) 764-6283

The provider's authorized official is Keli Kornmiller .
The authorized official title is Senior Credentialing Specialist and has the following contact phone number (561) 672-8345.

The enumeration date for this NPI number is 1/27/2016 and was last updated on 1/27/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2261QR0800XClinic/CenterRecovery CareYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.