Hope & Grace Recovery Center, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HOPE & GRACE RECOVERY CENTER, LLC

Practice address

3411 NW 9TH Ave # 703704
Oakland Park, FL 33309-5946

Phone

(617) 448-8721

NPI assigned

Oct 28, 2015

Last updated

Jan 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Fitzemeyer

Title

Owner/Ceo

Phone

(754) 216-3338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1295107381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 POWERLINE RD",
            "address_2": "SUITE 200",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "33309",
            "telephone_number": "954-616-8988",
            "fax_number": "954-616-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 NW 9TH AVE # 703704",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333095946",
            "telephone_number": "617-448-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & GRACE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "FITZEMEYER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "754-216-3338",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.