CELEBRATE LIFE RECOVERY CENTER PHASE II, LLC
NPI 1417491820
Substance Abuse Rehabilitation Facility in North Lauderdale, FL

Q: What is Celebrate Life Recovery Center Phase II, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 05, 2016

6043 KIMBERLY BLVD STE U, NORTH LAUDERDALE, FL 33068(954) 951-6005(954) 951-6006 Get Directions Write a Review

NPPES record last updated: December 5, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Celebrate Life Recovery Center Phase Ii, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CELEBRATE LIFE RECOVERY CENTER PHASE II, LLC (NPI 1417491820) is a healthcare organization registered as a substance abuse rehabilitation facility in North Lauderdale, Florida and active in the NPI registry since December 2016. The organization lists Keli Kornmiller, Onboarding Supervisor, as its authorized official.

NPPES Registry Identity

NPI1417491820

Entity TypeOrganization

Primary Taxonomy324500000X

Legal Business NameCELEBRATE LIFE RECOVERY CENTER PHASE II, LLC

Location Address6043 KIMBERLY BLVD STE UNorth Lauderdale, FL 33068-2826

Mailing Address4955 Nw 84th RdCoral Springs, FL 33067-1973 · (954) 951-6005 · Fax (954) 951-6006

Phone(954) 951-6005

Fax(954) 951-6006

Organization SubpartNo

Authorized OfficialKeli KornmillerOnboarding Supervisor · (561) 672-8345

Enumeration DateDecember 5, 2016

✔ NPI 1417491820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

6043 KIMBERLY BLVD STE U, North Lauderdale, FL 33068

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Celebrate Life Recovery Center Phase II, LLC's NPI number?

The NPI number for Celebrate Life Recovery Center Phase II, LLC is 1417491820. It was assigned to this organization in the NPPES registry on December 5, 2016.

Where is Celebrate Life Recovery Center Phase II, LLC located?

Celebrate Life Recovery Center Phase II, LLC is located at 6043 Kimberly Blvd Ste U, North Lauderdale, FL 33068. The listed phone number is (954) 951-6005.

What is Celebrate Life Recovery Center Phase II, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Celebrate Life Recovery Center Phase II, LLC was last updated on December 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.