The Bougainvilla House, Inc.
NPI 1700243300 · Recovery Care Clinic/Center · Fort Lauderdale, FL
The Bougainvilla House, Inc. is a Recovery Care Clinic/Center organization in Fort Lauderdale, FL (NPI 1700243300).
Provider details
- NPI number
- 1700243300
- Entity type
- Organization
- Primary specialty
- Recovery Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Keli Kornmiller, Senior Credentialing Specialist(561) 672-8345
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-01-27
- Last updated
- 2016-01-27
Frequently asked questions
- What is The Bougainvilla House, Inc.'s NPI number?
- The Bougainvilla House, Inc.'s National Provider Identifier (NPI) is 1700243300, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Bougainvilla House, Inc.?
- The Bougainvilla House, Inc. is classified in the NPPES registry as Recovery Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Bougainvilla House, Inc. located?
- The Bougainvilla House, Inc.'s practice location on file with NPPES is 1727 Se 4th Ave, Fort Lauderdale, FL 33316-2515.
- What is The Bougainvilla House, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for The Bougainvilla House, Inc. is (954) 764-7337.
- Who is the authorized official for The Bougainvilla House, Inc.?
- The authorized official listed on The Bougainvilla House, Inc.'s NPPES record is Keli Kornmiller, Senior Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Bougainvilla House, Inc.'s NPI active?
- Yes — The Bougainvilla House, Inc.'s NPI (1700243300) is active in the NPPES registry as of the last update on 2016-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.