The Bougainvilla House, Inc.

LBN: The Bougainvilla House, Inc.
The Bougainvilla House, Inc. is an health care organization with primary practice located at 1727 Se 4Th Ave , Fort Lauderdale FL 33316-2515. The organization recently has 4 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Agencies / Community/Behavioral Health is the primary health care specialty. The Bougainvilla House, Inc. can be contacted via phone (954) 764-7337, or through Cartagena, Veronica via phone (954) 764-7337.

Contact Information

Primary practice address
1727 Se 4Th Ave Fort Lauderdale FL 33316-2515
Phone: (954) 764-7337
Fax: (954) 764-6283
Website:
Map and Directions
Authorized official contact:
Name: Cartagena, Veronica
Phone: (954) 764-7337

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 1706AD094501 Florida
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 1706AD094501 Florida

Profile Details

NPI number 1962835488
LBN Legal business name The Bougainvilla House, Inc.
DBA Doing business as
Authorized official Cartagena, Veronica
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2013
Last updated Feb 20th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962835488 NPPES
Florida MEDICAID 013497000

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