MEDICARE: A NEW VISION TREATMENT CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1972324002
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A NEW VISION TREATMENT CENTER, LLC

Provider Business Mailing Address
First Line	:	18459 PINES BLVD # 410
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33029-1400
Country	:	US
Telephone Number	:	310-600-5633
Fax Number	:

Provider Business Practice Location Address
First Line	:	6221 GOODLAND AVE
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3023
Country	:	US
Telephone Number	:	310-600-5633
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALCIRA SIGLER
Credential	:
Telephone Number	:	310-600-5633

Provider Enumeration Date	:	10/21/2024
Last Update Date	:	05/19/2026

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