The Bougainvilla House, Inc.

LBN: The Bougainvilla House, Inc.
The Bougainvilla House, Inc. is an health care organization with primary practice located at 1727 Se 4Th Ave , Fort Lauderdale FL 33316-2515. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Recovery Care. Ambulatory Health Care Facilities / Recovery Care is the primary health care specialty. The Bougainvilla House, Inc. can be contacted via phone (954) 764-7337, or through Kornmiller, Keli via phone (561) 672-8345.

Contact Information

Primary practice address
1727 Se 4Th Ave Fort Lauderdale FL 33316-2515
Phone: (954) 764-7337
Fax: (954) 764-6283
Website:
Map and Directions
Authorized official contact:
Name: Kornmiller, Keli
Phone: (561) 672-8345

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Recovery Care 261QR0800X

Profile Details

NPI number 1700243300
LBN Legal business name The Bougainvilla House, Inc.
DBA Doing business as
Authorized official Kornmiller, Keli
Entity Organization
Organization subpart 1 No
Enumeration date Jan 27th, 2016
Last updated Jan 27th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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