Organization Active NPI

CDW Recovery Service

  • Community/Behavioral Health Agency
  • Lake Park, FL
National Provider Identifier
1487065082
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CDW RECOVERY SERVICE
Practice address
226 Park Ave
Lake Park, FL 33403-2702
Phone
(561) 255-4135
Fax
(501) 679-5575
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mrs. Scarltt Griffin
Title
Billing Specialist
Phone
(501) 773-0234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

226 Park Ave
Lake Park, FL 33403-2702

Mailing address

3020 Alcazar PL Apt 206
Palm Beach Gardens, FL 33410-2877
Phone (561) 255-4135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1487065082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ALCAZAR PL APT 206",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102877",
            "telephone_number": "561-255-4135",
            "fax_number": "501-679-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 PARK AVE",
            "city": "LAKE PARK",
            "state": "FL",
            "postal_code": "334032702",
            "telephone_number": "561-255-4135",
            "fax_number": "501-679-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDW RECOVERY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "SCARLTT",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "501-773-0234",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.