1. Home
  2. Directory
  3. Florida
  4. Fort Lauderdale
  5. Clinic Center
  6. NPI Profile

THE BOUGAINVILLA HOUSE, INC.
NPI 1700243300
Clinic/Center - Recovery Care in Fort Lauderdale, FL

Active since January 27, 2016
1727 SE 4TH AVE, FORT LAUDERDALE, FL 33316(954) 764-7337(954) 764-6283 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Bougainvilla House, Inc. NPPES

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

THE BOUGAINVILLA HOUSE, INC. (NPI 1700243300) is a healthcare organization registered as a recovery care in Fort Lauderdale, Florida and active in the NPI registry since January 2016. The organization lists Keli Kornmiller, Senior Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1700243300
Entity TypeOrganization
Primary Taxonomy261QR0800X
Legal Business NameTHE BOUGAINVILLA HOUSE, INC.
Location Address1727 SE 4TH AVEFort Lauderdale, FL 33316-2515
Mailing Address1721 Se 4th AveFort Lauderdale, FL 33316-2515 · (954) 764-7337 · Fax (954) 764-6283
Phone(954) 764-7337
Fax(954) 764-6283
Organization SubpartNo
Authorized OfficialKeli KornmillerSenior Credentialing Specialist · (561) 672-8345
Enumeration DateJanuary 27, 2016
✔ NPI 1700243300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Recovery CareAmbulatory Health Care Facilities
Taxonomy Code261QR0800X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1727 SE 4TH AVE, Fort Lauderdale, FL 33316
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE BOUGAINVILLA HOUSE, INC.
Clinic/Center (Recovery Care)
1727 SE 4TH AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 764-7337
THE BOUGAINVILLA HOUSE, INC.
Community/Behavioral Health
1727 SE 4TH AVE
FORT LAUDERDALE, FL 33316
Broward County (954) 764-7337

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 The Bougainvilla House, Inc.'s NPI number?

The NPI number for The Bougainvilla House, Inc. is 1700243300. It was assigned to this organization in the NPPES registry on January 27, 2016.

Where is The Bougainvilla House, Inc. located?

The Bougainvilla House, Inc. is located at 1727 SE 4th Ave, Fort Lauderdale, FL 33316. The listed phone number is (954) 764-7337.

What is The Bougainvilla House, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Recovery Care, with taxonomy code 261QR0800X.

What insurance does The Bougainvilla House, Inc. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Bougainvilla House, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Bougainvilla House, Inc. was last updated on January 27, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.