NPIMap

Organization Active NPI

Broward County

Doing business as Broward Addiction Recovery Center

  • Community/Behavioral Health Agency
  • West Park, FL
National Provider Identifier
1053082735
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BROWARD COUNTY
Doing business as
Broward Addiction Recovery Center
Practice address
4733 SW 18TH St
West Park, FL 33023-3307
Phone
(954) 357-4880
NPI assigned
Sep 23, 2021
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BROWARD COUNTY BOARD OF COUNTY COMMISSIONERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Gerard John
Title
Director
Phone
(954) 357-4830

Specialties & licenses 1

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

Addresses

Primary practice location

4733 SW 18TH St
West Park, FL 33023-3307

Mailing address

900 NW 31St Ave Ste 2000
Ft Lauderdale, FL 33311-6653
Phone (954) 357-4882

Other identifiers 1

IdentifierTypeStateIssuer
1326171034MedicaidFL

Other names 1

  • Broward Addiction Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Broward County Board of6 organizations share this tax ID, including this one
Part of
Broward County Board of

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4733 SW 18th St
West Park, FL 33023
Phone (954) 357-4880

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1053082735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NW 31ST AVE STE 2000",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333116653",
            "telephone_number": "954-357-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 SW 18TH ST",
            "city": "WEST PARK",
            "state": "FL",
            "postal_code": "330233307",
            "telephone_number": "954-357-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROWARD COUNTY BOARD OF COUNTY COMMISSIONERS",
        "enumeration_date": "2021-09-23",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-357-4830"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326171034",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broward Addiction Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.