Fire Forged Recovery, Inc

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

FIRE FORGED RECOVERY, INC

Practice address

2428 NW 56TH Ave
Lauderhill, FL 33313-3012

Phone

(754) 777-0806

NPI assigned

Jan 15, 2020

Organization subpart

No

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

Authorized official

Name

Sonia Bailey

Title

Executive Director

Phone

(510) 325-3934

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1427698638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25976",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333205976",
            "telephone_number": "754-777-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 NW 56TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333133012",
            "telephone_number": "754-777-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRE FORGED RECOVERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-15",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-325-3934"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Peer Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.