Acsr Inc

Key facts

NPI

1154495190

Entity type

Organization (NPI type 2)

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Legal business name

ACSR INC

Practice address

5001 Hollywood Blvd
Hollywood, FL 33021-6515

Phone

(954) 983-2742

Fax

(954) 983-2754

NPI assigned

Nov 20, 2006

Organization subpart

No

Authorized official

Name

Mr. Kris Wayne Baldock

Title

Chairman Ceo President

Phone

(443) 548-2200

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154495190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 REDLAND CT",
            "address_2": "SUITE 114",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173270",
            "telephone_number": "443-548-2200",
            "fax_number": "443-548-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 HOLLYWOOD BLVD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216515",
            "telephone_number": "954-983-2742",
            "fax_number": "954-983-2754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHAIRMAN CEO PRESIDENT",
        "authorized_official_telephone_number": "443-548-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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