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
Fax: (305) 576-1348
Website:
Authorized official contact:
Name: Miller, Michael PH.D.

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376532150 NPPES
Florida MEDICAID 0605905 00

Popular Providers