Provider Demographics
NPI:1649500182
Name:DEERFIELD FLORIDA HOUSE, INC
Entity type:Organization
Organization Name:DEERFIELD FLORIDA HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRCO-RCM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEMINISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SOLORZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-667-5465
Mailing Address - Street 1:530 S FEDERAL HWY # 5
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4140
Mailing Address - Country:US
Mailing Address - Phone:954-363-0088
Mailing Address - Fax:412-451-8656
Practice Address - Street 1:504 S FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4112
Practice Address - Country:US
Practice Address - Phone:954-363-0088
Practice Address - Fax:412-451-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X, 261QM0801X, 261QR0405X, 320800000X, 323P00000X
FL1706AD022401324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility