NPI Code Detail JSON Logo

1013717941 NPI number — REAL RECOVERY SOLUTIONS LLC

NPI Number: 1013717941
Health Care Provider/Practitioner: REAL RECOVERY SOLUTIONS LLC

Information about “1013717941” NPI (REAL RECOVERY SOLUTIONS LLC) exists in 1013717941 in HTML format HTML  |  1013717941 in plain Text format TXT  |  1013717941 in PDF (Portable Document Format) PDF  |  1013717941 in an XML format XML  formats.

NPI Number : 1013717941 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1013717941",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "REAL RECOVERY SOLUTIONS LLC",
    "ParentOrgTIN": null,
    "OrgName": "REAL RECOVERY SOLUTIONS LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14702 N FLORIDA AVE STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TAMPA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33613-1822",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "813-554-9880",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5352 GULF DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW PORT RICHEY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34652-3920",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "813-945-7922",
    "PracticeLocationAddressFaxNumber": "813-565-9110",
    "EnumerationDate": "03/18/2025",
    "LastUpdateDate": "03/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ESCOBAR",
    "AuthorizedOfficialFirstName": "CARLOS",
    "AuthorizedOfficialMiddleName": "E",
    "AuthorizedOfficialTitle": "CLINICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LMHC",
    "AuthorizedOfficialTelephoneNumber": "727-351-1978",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "324500000X",
          "TaxonomyName": "Substance Abuse Rehabilitation Facility",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR0405X",
          "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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