Organization Active NPI

Polk for Recovery, Inc.

  • Community/Behavioral Health Agency
  • Winter Haven, FL
National Provider Identifier
1003527581
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
POLK FOR RECOVERY, INC.
Doing business as
Polk for Recovery
Practice address
244 Avenue D SW
Winter Haven, FL 33880-3423
Phone
(863) 288-6522
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Craig Pickos, CRSS
Title
Executive Director
Phone
(863) 288-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

244 Avenue D SW
Winter Haven, FL 33880-3423

Mailing address

3031 Eagle Haven Dr
Winter Haven, FL 33880-5208
Phone (863) 288-6522

Other names 1

  • Polk for Recovery Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1003527581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 EAGLE HAVEN DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338805208",
            "telephone_number": "863-288-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 AVENUE D SW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803423",
            "telephone_number": "863-288-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLK FOR RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2022-12-06",
        "certification_date": "2022-11-08",
        "status": "A",
        "authorized_official_last_name": "PICKOS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-288-6522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRSS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Polk for Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.