The Village
LBN: The Village South, Inc
The Village is an health care organization with primary practice located at 1633 Poinciana Dr , Pembroke Pines FL 33025-4587. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty.
The Village South, Inc can be contacted via phone (315) 573-3784, or through Miller, Michael via phone (305) 586-4654.
Contact Information
Primary practice address
1633 Poinciana Dr
Pembroke Pines FL 33025-4587
Phone: (315) 573-3784
Fax: (305) 576-1348
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Agencies / Community/Behavioral Health | 251S00000X | 113AD273613 | Florida |
Agencies / Community/Behavioral Health | 251S00000X | 113AD273612 | Florida |
Agencies / Community/Behavioral Health | 251S00000X | 113AD273650 | Florida |
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 1113AD273605 | Florida |
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 1113AD273606 | Florida |
Profile Details
NPI number | 1376532150 |
---|---|
LBN Legal business name | The Village South, Inc |
DBA Doing business as | The Village |
Authorized official | Miller, Michael PH.D. |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Oct 14th, 2005 |
Last updated | Oct 14th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376532150 | NPPES |
Florida | MEDICAID | 0605905 00 |
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