NPIMap

Organization Active NPI

Christian Recovery Solutions, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fort Lauderdale, FL
National Provider Identifier
1093870636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1006AD702801 Issued in FL
Legal business name
CHRISTIAN RECOVERY SOLUTIONS, INC.
Practice address
1080 SE 3Rd Ave
Fort Lauderdale, FL 33316-1108
Phone
(954) 627-6157
Fax
(954) 627-6162
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Augustine Crocco, LCSW
Title
Ceo
Phone
(954) 410-6108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1006AD702801 FL Primary

Addresses

Primary practice location

1080 SE 3Rd Ave
Fort Lauderdale, FL 33316-1108

Mailing address

PO Box 1446
Pompano Beach, FL 33061-1446
Phone (954) 627-6157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093870636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330611446",
            "telephone_number": "954-627-6157",
            "fax_number": "954-627-6162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 SE 3RD AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333161108",
            "telephone_number": "954-627-6157",
            "fax_number": "954-627-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN RECOVERY SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROCCO",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-410-6108",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1006AD702801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.