THE BOUGAINVILLA HOUSE, INC.
NPI 1770949075
Clinic/Center - Recovery Care in Fort Lauderdale, FL

Q: What is The Bougainvilla House, Inc.'s NPI number?

The NPI number for The Bougainvilla House, Inc. is 1770949075. It was assigned to this organization in the NPPES registry on January 4, 2016.

Q: 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.

Active since January 04, 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: August 09, 2026.

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About The Bougainvilla House, Inc. NPPES

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

THE BOUGAINVILLA HOUSE, INC. (NPI 1770949075) 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

NPI1770949075

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 4, 2016

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1770949075 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 ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 1706AD094501 (FL)

1727 SE 4TH AVE, Fort Lauderdale, FL 33316

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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 1770949075. It was assigned to this organization in the NPPES registry on January 4, 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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.