Organization
FALLING LEAVES RECOVERY LLC
Active
Other names
Fallen Leaves Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHEPPARD (CFO)
(832) 289-3350
Entity
Organization
Contact information
Practice address
15485 EAGLE NEST LN, SUITE 210 & 230, MIAMI LAKES, FL 33014-2247
(786) 332-2218
(786) 332-4994
Mailing address
5079 N DIXIE HWY, 198, OAKLAND PARK, FL 33334-4000
(786) 332-2218
(954) 357-3624
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1302
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
1302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10D2122335
CLIA
FL
01
—
YGC
BCBS
FL
01
—
Z4YG9
BCBS GROUP ID
FL
Enumeration date
05/26/2016
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us