Organization Active NPI

Broward Treatment Center

  • Substance Abuse Rehabilitation Facility
  • Hollywood, FL
National Provider Identifier
1295223451
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BROWARD TREATMENT CENTER
Practice address
1101 S 21 Ave
Hollywood, FL 33020
Phone
(954) 922-0522
Fax
(954) 922-0551
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Nasherra WelbonNPI 1134618358
Title
Counselor
Phone
(954) 922-0522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1101 S 21 Ave
Hollywood, FL 33020

Mailing address

1101 S 21St Ave
Hollywood, FL 33020-6935
Phone (954) 922-0522

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1295223451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S 21ST AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206935",
            "telephone_number": "954-922-0522",
            "fax_number": "954-922-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S 21 AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "33020",
            "telephone_number": "954-922-0522",
            "fax_number": "954-922-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWARD TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "WELBON",
        "authorized_official_first_name": "NASHERRA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "954-922-0522"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.