NIRVANA CLINIC CENTER LLC
NPI 1811357122
Community/Behavioral Health in Miami, FL

Active since February 29, 2016
8765 SW 165TH AVE STE 105, MIAMI, FL 33193(786) 577-0024(786) 773-2234 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 29, 2021, Nov 22, 2021, Jul 7, 2021 and 3 more (6 updates tracked since 2016).

About Nirvana Clinic Center Llc NPPES

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

NIRVANA CLINIC CENTER LLC (NPI 1811357122) is a healthcare organization registered as a community/behavioral health in Miami, Florida and active in the NPI registry since February 2016. The organization lists Daniela Manno, Director, as its authorized official.

NPPES Registry Identity

NPI1811357122
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNIRVANA CLINIC CENTER LLC
Location Address8765 SW 165TH AVE STE 105Miami, FL 33193-5832
Mailing Address8765 Sw 165th Ave Ste 105Miami, FL 33193-5832 · (786) 577-0024 · Fax (786) 773-2234
Fax(786) 773-2234
Organization SubpartNo
Authorized OfficialDaniela MannoDirector · (786) 577-0024
Enumeration DateFebruary 29, 2016
Last NPPES UpdateNovember 29, 20216 updates tracked since enumeration
NPPES CertifiedNovember 29, 2021
✔ NPI 1811357122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedCase ManagementTaxonomy 251B00000X
8765 SW 165TH AVE STE 105, Miami, FL 33193

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nirvana Clinic Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nirvana Clinic Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Surgery
NPI 1164889168
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
(386) 425-4000
✔ PECOS✔ Accepts Medicare245 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nirvana Clinic Center LLC's NPI number?

The NPI number for Nirvana Clinic Center LLC is 1811357122. It was assigned to this organization in the NPPES registry on February 29, 2016.

Where is Nirvana Clinic Center LLC located?

Nirvana Clinic Center LLC is located at 8765 SW 165th Ave Ste 105, Miami, FL 33193. The listed phone number is (786) 577-0024.

What is Nirvana Clinic Center LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Nirvana Clinic Center LLC enrolled in Medicare?

Yes. Nirvana Clinic Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nirvana Clinic Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Nirvana Clinic Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nirvana Clinic Center LLC was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.