Organization Active NPI

Acsi Community Behavioral Center, LLC.

  • Case Management Agency
  • Fort Lauderdale, FL
National Provider Identifier
1609383595
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ACSI COMMUNITY BEHAVIORAL CENTER, LLC.
Practice address
3113 Stirling Rd Ste 204
Fort Lauderdale, FL 33312-6547
Phone
(954) 842-3501
Fax
(954) 206-0906
NPI assigned
Jan 2, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Authorized official

Name
Ms. Yanet Rodriguez, HHA,RPT,MA
Title
Ceo
Phone
(954) 842-3501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3113 Stirling Rd Ste 204
Fort Lauderdale, FL 33312-6547

Mailing address

3113 Stirling Rd Ste 204
Fort Lauderdale, FL 33312-6547
Phone (954) 842-3501

Other identifiers 1

IdentifierTypeStateIssuer
021204200MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Acsi Community Behavioral Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1609383595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-842-3501",
            "fax_number": "954-206-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3113 STIRLING RD STE 204",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126547",
            "telephone_number": "954-842-3501",
            "fax_number": "954-206-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACSI COMMUNITY BEHAVIORAL CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "YANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-842-3501",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "HHA,RPT,MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021204200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.