Provider Demographics
NPI:1588850945
Name:RMP ENTERPRISES, LLC
Entity type:Organization
Organization Name:RMP ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:REESA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-545-1083
Mailing Address - Street 1:546 NW UNIVERSITY BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-2286
Mailing Address - Country:US
Mailing Address - Phone:772-323-2099
Mailing Address - Fax:772-323-2106
Practice Address - Street 1:546 NW UNIVERSITY BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-2286
Practice Address - Country:US
Practice Address - Phone:772-323-2099
Practice Address - Fax:772-323-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1956AD339700324500000X
322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS2UOtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL2433577OtherCIGNA
FL604745OtherVALUE OPTIONS
FL9663090OtherAETNA
NJ001924OtherHORIZON BC OF NJ