Organization Active NPI

Choices Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Lauderdale, FL
National Provider Identifier
1639419146
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CHOICES RECOVERY LLC
Practice address
609 SW 12TH CT
Fort Lauderdale, FL 33315-1416
Phone
(954) 746-8232
Fax
(954) 746-8981
NPI assigned
Feb 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Mrs. Theresa Smith
Title
Business Manager
Phone
(954) 746-8232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

609 SW 12TH CT
Fort Lauderdale, FL 33315-1416

Mailing address

609 SW 12TH CT
Fort Lauderdale, FL 33315-1416
Phone (954) 746-8232

Other identifiers 1

IdentifierTypeStateIssuer
10D2042205OtherFLCLINICAL LAB

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1639419146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 SW 12TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151416",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 SW 12TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151416",
            "telephone_number": "954-746-8232",
            "fax_number": "954-746-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "954-746-8232",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LAB",
            "identifier": "10D2042205",
            "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 Jul 7, 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.